Isolated symptomatic stenosis of the middle cerebral artery in younger adults - A clinical and ultrasonic follow-up study of eight patients

被引:8
作者
Becker, VU
Eckert, B
Thie, A
机构
[1] UNIV HAMBURG,KRANKENHAUS EPPENDORF,NEUROL KLIN,DEPT NEUROL,D-20246 HAMBURG,GERMANY
[2] UNIV HAMBURG,KRANKENHAUS EPPENDORF,DEPT NEURORADIOL,D-20246 HAMBURG,GERMANY
关键词
intracranial occlusive disease; middle cerebral artery; ultrasound;
D O I
10.1159/000117209
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We studied 8 symptomatic patients aged 32-56 years with isolated stenosis of the middle cerebral artery who had TIAs or minor strokes. Angiography showed MCA stenosis in the M1 segment in 7 patients, and proximal M1 occlusion that later recanalized with persistent stenosis in 1 patient, without evidence of more widespread atherosclerotic disease. A potential cardiac source of embolism was detected in only 2 patients with mitral valve prolapse. During follow-up for 39-82 months, no further ischemic events occurred, and transcranial Doppler showed unchanged or decreased stenosis in 6 patients. We conclude that isolated MCA stenosis in younger patients may be a unique pathologic entity with a benign long-term course, although previous embolism with partial recanalization appears possible in some patients.
引用
收藏
页码:65 / 70
页数:6
相关论文
共 21 条
[1]   ATHEROSCLEROTIC DISEASE OF THE MIDDLE CEREBRAL-ARTERY [J].
BOGOUSSLAVSKY, J ;
BARNETT, HJM ;
FOX, AJ ;
HACHINSKI, VC ;
TAYLOR, W .
STROKE, 1986, 17 (06) :1112-1120
[2]   OCCLUSIVE DISEASE OF THE MIDDLE CEREBRAL-ARTERY [J].
CAPLAN, L ;
BABIKIAN, V ;
HELGASON, C ;
HIER, DB ;
DEWITT, D ;
PATEL, D ;
STEIN, R .
NEUROLOGY, 1985, 35 (07) :975-982
[3]  
CAPLAN LR, 1993, CLIN APPROACH, P214
[4]   PROGNOSIS IN MIDDLE CEREBRAL-ARTERY STENOSIS [J].
CORSTON, RN ;
KENDALL, BE ;
MARSHALL, J .
STROKE, 1984, 15 (02) :237-241
[5]  
DEBRAY JM, 1989, REV NEUROL, V145, P117
[6]  
FELDMEYER JJ, 1983, REV NEUROL, V139, P725
[7]  
Fujioka KA., 1992, TRANSCRANIAL DOPPLER, P9
[8]   SYMPTOMATIC MIDDLE CEREBRAL-ARTERY STENOSIS [J].
HINTON, RC ;
MOHR, JP ;
ACKERMAN, RH ;
ADAIR, LB ;
FISHER, CM .
ANNALS OF NEUROLOGY, 1979, 5 (02) :152-157
[9]  
Krayenbuhl H, 1979, ZEREBRALE ANGIOGRAPH
[10]   NATURE OF OCCLUSIONS OF MIDDLE CEREBRAL ARTERY [J].
LHERMITTE, F ;
GAUTIER, JC ;
DEROUESNE, C .
NEUROLOGY, 1970, 20 (01) :82-+