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Spontaneous recanalization of a middle cerebral artery occlusion with subsequent carotid endarterectomy  Andrew J. Jackson, BSc, MBChB, MRCS, Amit Patel,

Published byMaija-Leena Jurkka Modified over 5 years ago

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Presentation on theme: "Spontaneous recanalization of a middle cerebral artery occlusion with subsequent carotid endarterectomy  Andrew J. Jackson, BSc, MBChB, MRCS, Amit Patel,"— Presentation transcript:

1 Spontaneous recanalization of a middle cerebral artery occlusion with subsequent carotid endarterectomy  Andrew J. Jackson, BSc, MBChB, MRCS, Amit Patel, MBChB, MRCS, Bryce Renwick, MBChB, MRCS, Mark Ablett, MBChB, FRCR, Ian McMillan, MBChB, MD, FRCS  Journal of Vascular Surgery  Volume 50, Issue 6, Pages (December 2009) DOI: /j.jvs Copyright © 2009 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Axial multiplanar reconstructions of a nonenhanced computed tomography scan of the brain performed at the time of admission show hyperattenuation changes within the left middle cerebral artery (arrows) in keeping with thrombosis. The hyperdense middle cerebral artery (MCA) sign is a well known indicator of MCA occlusion and is recognized as one of the earliest signs of ischemic stroke.1 The sign correlates with MCA occlusion in angiographic studies in 95% to 100% of patients.2 B, Coronal multiplanar reconstruction. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Sagittal, maximum intensity projection reconstructions of right carotid magnetic resonance angiograms. B, Sagittal, maximum intensity projection reconstructions of the left carotid magnetic resonance angiograms. (B) shows a signal void within the proximal 5 mm of the left internal carotid artery (ICA, arrow) in keeping with a >90% stenosis. The left ICA is patent but its caliber is reduced compared with (A) the right ICA. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A and B, In these axial and coronal maximum intensity projection reconstructions of a computed tomography angiography of the circle of Willis, the contrast-enhancing of the left middle cerebral artery (arrows) indicates resolution of the vessel occlusion. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

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