Acta Neurochirurgica

, Volume 141, Issue 9, pp 1005–1008

Dissection of the Middle Cerebral Artery Caused by Invasion of Malignant Glioma Presenting as Acute Onset of Hemiplegia

  • N. Aoki
  • T. Sakai
  • A. Oikawa
  • T. Takizawa
  • M. Koike

DOI: 10.1007/s007010050408

Cite this article as:
Aoki, N., Sakai, T., Oikawa, A. et al. Acta Neurochir (Wien) (1999) 141: 1005. doi:10.1007/s007010050408

Summary

 A 57-year-old, previously healthy man who developed acute onset of hemiplegia is presented. Neuro-imaging studies on admission suggested dissection of the middle cerebral artery producing infarction in the frontotemporal region. In contrast to his stable clinical course, serial neuro-imaging studies disclosed rapid growth of malignant glioma, which was confirmed at surgery. Microscopic examination of the surgical specimen demonstrated invasion of glioma cells into the arterial wall associated with intramural haematoma formation of the middle cerebral artery. This case is the first to document dissection of an intracranial artery caused by invasion of tumour cells.

Keywords: Cerebral infarction; malignant glioma; vascular dissection.

Copyright information

© Springer-Verlag Wien 1999

Authors and Affiliations

  • N. Aoki
    • 1
  • T. Sakai
    • 1
  • A. Oikawa
    • 1
  • T. Takizawa
    • 2
  • M. Koike
    • 3
  1. 1.Department of Neurosurgery, Tokyo Metropolitan Ohkubo Hospital, Tokyo, JapanJP
  2. 2.Department of Pathology, Tokyo Metropolitan Ohkubo Hospital, Tokyo, JapanJP
  3. 3.Department of Pathology, Tokyo Metropolitan Komagome Hospital, Tokyo, JapanJP