Journal article
Middle cerebral artery fenestration in patients with cerebral ischemia
Journal of the neurological sciences, v 275(01-02), pp 181-184
15 Dec 2008
PMID: 18801495
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We report five cases of middle cerebral artery (MCA) fenestration that might have caused cerebral infarction or ischemia.
Unilateral fenestration of the MCA was observed in five patients with artery-relevant cerebral infarction or ischemia. Enhanced magnetic resonance imaging (MRI) and three-dimensional MR angiography (MRA) were performed in the patients, and a division of the lumen after fenestration was observed using virtual arterial endoscopy. In one patient, MRA and virtual endoscopy showed an obstruction in one limb of the fenestration. The MCA fenestrations were observed in the proximal portion in three cases and the intermediate portion in two cases, and there was no associated aneurysm near or far from the fenestration.
The five patients underwent both contrast-enhanced magnetic resonance imaging (MRI) and 3D MRA. Virtual arterial endoscopy was then performed to visualize the division of the lumen, a landmark of fenestration.
The association between cerebral ischemia and MCA fenestration in the five cases suggests that the fenestration disturbing local flow hemodynamics seems to cause cerebral ischemia, even a direct causative relationship should be elucidated further.
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Details
- Title
- Middle cerebral artery fenestration in patients with cerebral ischemia
- Creators
- Seul-Ki Jeong - Jeonbuk National UniversityHyo-Sung Kwak - Jeonbuk National UniversityYoung-Il Cho - Drexel University
- Publication Details
- Journal of the neurological sciences, v 275(01-02), pp 181-184
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Mechanical Engineering and Mechanics
- Web of Science ID
- WOS:000261749100036
- Scopus ID
- 2-s2.0-55649110883
- Other Identifier
- 991019203462704721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Clinical Neurology
- Neurosciences