title: Multiple reversible episodes of subcortical ischemia following postcoital middle cerebral artery dissection.
abstract: BACKGROUND
  Subcortical transient ischemic attacks are usually seen in individuals with small-vessel disease. They are often refractory to medical treatment and progress to infarction in many cases.
  
  
  METHODS
  We describe a young man with an unusual and protracted case of recurrent capsular ischemia due to postcoital middle cerebral artery dissection.
  
  
  CONCLUSIONS
  Spontaneous middle cerebral artery dissection should be considered in young patients presenting with subcortical transient ischemic attacks.
authors.affiliation: Stroke and Critical Care Division, The Neurological Institute, Columbia University, New York, NY 10032, USA.
authors.forename: Shyam
authors.initials: S
authors.lastname: Prabhakaran
authors.forename: John W
authors.initials: JW
authors.lastname: Krakauer
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000150:complications* / Q000473:pathology; D002545:Brain Ischemia / Q000209:etiology* / Q000473:pathology; D038524:Diffusion Magnetic Resonance Imaging / Q000379:methods; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000473:pathology; D018810:Magnetic Resonance Angiography / Q000379:methods; D008297:Male