Unusually prolonged progressing stroke: an expanding anterior cerebral artery infarction.
Progressive clinical deterioration over a period of weeks coupled with MRI evidence of infarction growth is quite uncommon. In this report, we describe a patient with an occluded left anterior cerebral artery (ACA) at the origin of the A2 segment. His symptoms attributable to a posteriorly located small infarction within the ACA territory slowly progressed during the following 8 weeks. A follow-up MRI revealed that the infarction had expanded to involve the whole region of the left ACA. Occasional patients like ours indicate that stroke is a dynamic disorder with an extremely variable clinical course and state of tissue injury.
Ay
Hakan
H
Department of Neurology, Hacettepe University Hospital, Ankara, Turkey. ayhmgh@hotmail.com
Uluç
Kayihan
K
Arsava
Ethem M
EM
Saatçi
Işil
I
Saribaş
Okay
O
D000368:Aged; D002533:Cerebral Angiography; D018450:Disease Progression; D006801:Humans; D020243:Infarction, Anterior Cerebral Artery / Q000473:pathology* / Q000503:physiopathology*; D008279:Magnetic Resonance Imaging; D008297:Male