Middle Cerebral Artery Territory Infarction Caused by Giant Middle
Cerebral Artery Dissecting Aneurysm

J Korean Neurol Assoc > Volume 31(3); 2013 > Article

Journal of the Korean Neurological Association 2013;31(3): 178-182.

거대박리동맥류에 의해 유발된 동측 중대뇌동맥영역 뇌경색

김도형, 손승남 a,e 최대섭 b,e 박인성 c 오민균 d,e 김수경 a,e 강희영 a 박기종 a 최낙천 a,e 권오영 a 임병훈 a,e

경상대학교 의학전문대학원 신경과 a , 영상의학과 b , 신경외과 c , 재활의학과 d , 경남권역심뇌혈관질환센터 e

Middle Cerebral Artery Territory Infarction Caused by Giant Middle Cerebral Artery Dissecting Aneurysm

Do-Hyung Kim

Department of Neurology , Gyeongsang National University School of Medicine, Jinju, Korea Department of Radiology b , Gyeongsang National University School of Medicine, Jinju, Korea Department of Neurosurgery c , Gyeongsang National University School of Medicine, Jinju, Korea Department of Rehabilitation Medicine d , Gyeongsang National University School of Medicine, Jinju, Korea Gyeongnam Regional Cardiocerebrovascular Disease Center e , Jinju, Korea

Abstract

Dissecting aneurysm of the intracranial arteries is a rare cause of stroke. This condition may induce both ischemic stroke and hemorrhagic stroke by occlusion of the parent artery via direct distortion and stretching, compression secondary to growth of the aneurism, and distal embolization of any intra-aneurysmal thrombi. A patient with an infarction in the right middle cerebral artery territory and a mass lesion located in the right basal ganglia and temporal lobe was examined in this study. The consequent workup suggested that the mass lesion was a huge dissecting aneurysm that had resulted in a cerebral infarction. Key Words: Cerebral infarction, Dissecting aneurysm, Middle cerebral artery