Successful double mechanical thrombectomy in bilateral M1 middle cerebral artery occlusion
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Multivessel occlusion (MVO) is not uncommon in patients with acute ischemic stroke (AIS) and arises most commonly from thromboembolic sources such as atrial fibrillation (AF). Acute bilateral middle cerebral artery (MCA) M1 segment occlusion is, however, rare, but raises significant issues for stroke neurologists and interventional radiologists regarding which lesion should be treated first. We describe a case of acute bilateral MCA M1 segment occlusion successfully treated with bilateral thrombectomy.
An 84-year-old woman with history of atrial fibrillation and arterial hypertension was admitted to the Emergency Department at 11.10 p.m. At 8.50 p.m., she presented an aphasia and a right faciobrachial palsy. The initial National Institutes of Health Stroke Scale (NIHSS) score was 11. She was intubated and sedated before admission due to seizures. Brain computed tomography (CT) demonstrated bilateral hyperdense MCA and CT angiography confirmed bilateral...
KeywordsStroke Bilateral M1 occlusion Mecanical thrombectomy
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Conflict of interest
The authors declare no conflict of interest regarding this case report.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
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