Frequent Ischemic Events Related to Varying Middle Cerebral Artery Stenosis

Makoto Nakajima; Yuichiro Inatomi; Toshiro Yonehara; Tadashi Terasaki; Yukio Ando

doi:10.2169/internalmedicine.53.1891

CASE REPORTS

Frequent Ischemic Events Related to Varying Middle Cerebral Artery Stenosis

Makoto Nakajima, Yuichiro Inatomi, Toshiro Yonehara, Tadashi Terasaki, Yukio Ando

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Keywords: acute ischemic stroke, intracranial stenosis, surgical treatment

JOURNAL OPEN ACCESS

2014 Volume 53 Issue 7 Pages 797-800

DOI https://doi.org/10.2169/internalmedicine.53.1891

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Abstract

We herein present the cases of two patients with multiple ischemic events, presumably due to varying degrees of middle cerebral artery (MCA) stenosis. The first patient was treated medically, and the symptoms and degree of MCA stenosis varied over several months. The second patient received emergent bypass surgery and experienced no further events, although the MCA stenosis progressed over four months. Emergent intracranial bypass surgery is an option for preventing further ischemic events in patients with symptomatic MCA stenosis.

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