Malignant Middle Cerebral Artery Infarction Resulting from Dissection of Middle Cerebral Artery.
A 30-year-old man presented with headache, left hemiparesis, and uncal herniation. Magnetic resonance imaging showed acute infarction in the right middle cerebral artery (MCA). Lifesaving craniotomy proceeded because of the uncal herniation. Assessment of brain tissue led to a diagnosis of MCA dissection. His skin biopsy showed ultrastructural abnormalities of dermal connective tissue. This is the unique case that dissection was diagnosed from both a biopsy specimen of the MCA and the dermal connective tissue.
Department of Neurology, The Jikei University School of Medicine, Tokyo, Japan. Electronic address: kenichisakuta@yahoo.co.jp.
Kenichi
K
Sakuta
Department of Neurology, The Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan.
Renpei
R
Sengoku
Department of Neurology, The Jikei University School of Medicine, Tokyo, Japan.
Hidetaka
H
Mitsumura
Department of Neurology, The Jikei University School of Medicine, Tokyo, Japan.
Yu
Y
Kono
Department of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Issei
I
Kan
Department of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Shogo
S
Kaku
Department of Neurology, The Jikei University School of Medicine, Tokyo, Japan.
Yasuyuki
Y
Iguchi
D000328:Adult; D002533:Cerebral Angiography; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000175:diagnosis / Q000209:etiology*; D002532:Intracranial Aneurysm / Q000150:complications*; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D020768:Middle Cerebral Artery / Q000473:pathology*
Middle cerebral artery; acute ischemic stroke; dissection; malignant middle cerebral artery infarction; skin biopsy