Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Diagnostic Usefulness of High Resolution Cross Sectional MRI in Symptomatic Middle Cerabral Arterial Dissection

  • Lee, Hai-Ong (Department of Neurosurgery, Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital) ;
  • Kwak, Hyo-Sung (Department of Radiology, Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital) ;
  • Chung, Gyung-Ho (Department of Radiology, Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital) ;
  • Hwang, Seung-Bae (Department of Radiology, Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital)
  • Received : 2010.11.08
  • Accepted : 2011.05.30
  • Published : 2011.06.28
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Abstract

Dissection of the middle cerebral artery (MCA) is less frequent compared with dissection of the vertebrobasilar system or carotid artery. Recently, high-resolution cross sectional MR imaging (HRMRI) has emerged as a potential technique for atherosclerotic plaque imaging in MCA, We introduce the findings of HRMRI in a 56-year-old woman with traumatic MCA dissection, HRMRI showed an intimal flap and tapered pseudolumen with intra-luminal hemorrhage, We performed stent deployment about MCA dissection after failed medical treatment Three months later, there was no in-stent restenosis and no further neurological deficit were noted.

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