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Neurological Sciences
Published in: Neurological Sciences 7/2021

01-07-2021 | Hematoma | Letter to the Editor

A case of middle cerebral artery dissection presenting with capsular warning syndrome: diagnosis and imaging follow-up based on high-resolution MRI

Authors: Hongjian Shen, Pengfei Xing, Fang Shen, Yongwei Zhang, Tao Wu, Benqiang Deng

Published in: Neurological Sciences | Issue 7/2021

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Excerpt

Middle cerebral artery (MCA) dissection is an uncommon cause of stroke. Despite its low incidence, MCA dissection has drawn attention as an important cause of stroke in young people. The clinical presentation of MCA dissection is not specific. Capsular warning syndrome (CWS), which is a manifestation of MCA dissection, has only rarely been reported [1‐3]. One Chinese patient was evidenced using high-resolution magnetic resonance imaging (HR-MRI), and a Latin American patient was evidenced using digital subtraction angiography (DSA) [2, 3]. Both patients received dual antiplatelet therapy, and symptoms did not recur. However, no follow-up images were available. A previous follow-up study found that most patients with intracranial arterial dissection completed the vascular repair within 2 months, but there were also a few dissection lesions that showed bleeding or progression [4]. Therefore, in addition to obtaining clinical outcomes, the evaluation of imaging prognosis after treatment is essential. We used HR-MRI to diagnose and follow up a case of middle cerebral artery dissection presenting with CWS. …
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Metadata
Title
A case of middle cerebral artery dissection presenting with capsular warning syndrome: diagnosis and imaging follow-up based on high-resolution MRI
Authors
Hongjian Shen
Pengfei Xing
Fang Shen
Yongwei Zhang
Tao Wu
Benqiang Deng
Publication date
01-07-2021
Publisher
Springer International Publishing
Published in
Neurological Sciences / Issue 7/2021
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-021-05213-2

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