. 2012; 18(3): 87-90 | DOI: 10.5505/tbdhd.2012.18209 | |||
Anterior koroidal arter enfarktı ile prezente olan bir internal serebral arter diseksiyonuEda Kılıç Çoban, Nilüfer Kale İçen, Aysun SoysalBakırköy Ruh Ve Sinir Hastalıkları Eğitim Ve Araştırma Hastanesi 3. Nöroloji Kliniği, İstanbulAnterior koroidal arter ( AChA) internal karotis arterin (ICA) dalı olup en sık laküner sendrom kliniği ile prezente olur. En sık gözlenen nörolojik bulgu hemiparezidir. Horner An internal cerebral artery dissection presented with anterior choroidal artery infarctionEda Kılıç Çoban, Nilüfer Kale İçen, Aysun SoysalBakırköy Mental Health Hospital 3rd Neurology Clinic, İstanbulAnterior choroidal artery (AchA) is a branch of internal carotid artery. AchA infarcts are frequently presented by lacunar syndromes. Hemiparesis is the most common presenting symptom. Horner syndrome and cranial nerve palsies are unusual findings for AChA infarcts. In case of presentation with these, etiopathogenesis should be reconsidered and re-evaluated. A 42 year old man was admitted to our neurology clinic with right hemiparesis. He had Horner syndrom and hypoglossal nerve palsy. An acute AChA infarction was seen in cranial and diffusion-weighted magnetic resonance imaging (MRI). As there was a suspicious sign of carotid dissection in extracranial MR angiography, digital substraction angiography was performed and dissection of left carotid artery in the subpetrosal region was observed. The patient was diagnosed with left carotid artery dissection and was started on oral anticoagulan therapy. Presentation of an acute AChA infarction due to the dissection of ICA is rarely observed. ICA dissections can sometimes be presented by Horner syndrome and/or cranial nerve palsies. Especially in young stroke patients, dissection should be considered even if the Eda Kılıç Çoban, Nilüfer Kale İçen, Aysun Soysal. An internal cerebral artery dissection presented with anterior choroidal artery infarction. . 2012; 18(3): 87-90 Sorumlu Yazar: Eda Kılıç Çoban, Türkiye |
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