Lamprou Viktoria, Astreinidis Athanasios, Davidhi Andjoli, Staikoglou Nikolaos, Psoma Elisavet, Selviaridis Panagiotis, Finitsis Stephanos
Radiology Department, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, Greece.
Department of Interventional Radiology, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, Greece.
Radiol Case Rep. 2020 Oct 9;15(12):2582-2588. doi: 10.1016/j.radcr.2020.09.047. eCollection 2020 Dec.
We report the case of a 70-year-old woman who presented with an acute ischemic stroke involving the left frontal operculum secondary to an M2 dissection and a concomitant completely thrombosed aneurysm of the left distal middle cerebral artery. Initial imaging work-up was inconclusive due to the lack of typical radiographic features and only repeated imaging studies pointed towards the presence of an arterial dissection combined with a completely thrombosed aneurysm. The aneurysm was partially clipped and wrapped with excellent clinical result at 1-year follow-up. The clinical, imaging and therapeutic challenges of this rare entity are discussed.
我们报告了一例70岁女性患者，该患者因M2段夹层导致左额岛盖急性缺血性卒中，同时伴有左大脑中动脉远端完全血栓形成的动脉瘤。由于缺乏典型的影像学特征，初始影像学检查结果不明确，仅重复的影像学研究提示存在动脉夹层合并完全血栓形成的动脉瘤。动脉瘤部分夹闭并包裹，1年随访时临床效果良好。本文讨论了这种罕见疾病在临床、影像学和治疗方面的挑战。
