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Perfusion-computed tomography for simultaneous bilateral middle cerebral artery occlusion

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Abstract

Bilateral simultaneous middle cerebral artery occlusion is a rare condition that may lead to severe neurological disability or death, thus requiring rapid intervention in order to restore vessels patency and brain perfusion. Perfusion-computed tomography is demonstrated to be a fundamental tool for selecting stroke patients candidate to mechanical thrombectomy, but its role for guiding the optimal strategy of endovascular treatment in concomitant multivessel cerebral occlusion has never been reported. We describe a case of bilateral middle cerebral artery occlusion in which perfusion-computed tomography was crucial both for addressing to endovascular procedure and planning the sequence treatment of mechanical thrombectomies.

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This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Neurology Unit, San Giovanni Bosco Hospital, Turin, Italy

    Andrea Naldi, Alessandra Di Liberto, Enrica Duc & Roberto Cavallo

  2. Department of Neuroscience “Rita Levi Montalcini”, University of Turin, Turin, Italy

    Andrea Naldi

  3. Radiology Unit, San Giovanni Bosco Hospital, Turin, Italy

    Alessandro Rapellino & Giacomo Paolo Vaudano

  4. Neuroradiology Unit, San Giovanni Bosco Hospital, Turin, Italy

    Giacomo Paolo Vaudano & Andrea Boghi

Authors
  1. Andrea Naldi
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  2. Alessandra Di Liberto
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  3. Enrica Duc
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  4. Alessandro Rapellino
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  5. Giacomo Paolo Vaudano
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  6. Roberto Cavallo
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  7. Andrea Boghi
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All authors contributed to the writing and critique of the manuscript.

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Correspondence to Andrea Naldi.

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Naldi, A., Di Liberto, A., Duc, E. et al. Perfusion-computed tomography for simultaneous bilateral middle cerebral artery occlusion. Neurol Sci 42, 1541–1544 (2021). https://doi.org/10.1007/s10072-020-04918-0

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  • DOI: https://doi.org/10.1007/s10072-020-04918-0

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