Dietrich Uwe, Graf Tilmann, Schäbitz Wolf-Rüdiger
Department of Neuroradiology, Universitätsklinikum Essen, Essen, Germany.
Department of Neurology, Evangelisches Krankenhaus Bielefeld, Bielefeld, Germany.
Case Rep Neurol. 2014 May 9;6(2):144-8. doi: 10.1159/000362160. eCollection 2014 May.
We report a case with acute small infarct of the left middle cerebral artery in a 72-year-old man with atrial fibrillation documented by MRI and MR angiography. One hour later, he lost consciousness and CT with CT angiography revealed bilateral hyperdense middle cerebral arteries due to occlusion of the M1 segments. Mechanical thrombectomy of the right middle cerebral artery was successfully performed. During that time, thrombosis on the left side had progressed to carotid T occlusion, which was recanalized as well. The patient had a good outcome with slight aphasia and mild paresis of the left hand and could be transferred to rehabilitation 2 weeks later.
我们报告了一例72岁男性患者，通过MRI和磁共振血管造影证实患有心房颤动，其左大脑中动脉发生急性小梗死。一小时后，他失去意识，CT及CT血管造影显示由于M1段闭塞，双侧大脑中动脉呈高密度影。成功对右侧大脑中动脉进行了机械取栓术。在此期间，左侧血栓已进展至颈内动脉T型闭塞，也实现了再通。患者预后良好，有轻微失语和左手轻度无力，两周后可转至康复科。
