tailieunhanh - Báo cáo y học: "Acute bilateral anterior circulation stroke due to anomalous cerebral vasculature: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Acute bilateral anterior circulation stroke due to anomalous cerebral vasculature: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Acute bilateral anterior circulation stroke due to anomalous cerebral vasculature a case report Brian F Menezes1 2 Beverley Cheserem1 Jothy Kandasamy 1 and Donnacha O Brien1 Address rfhe Walton Centre for Neurology and Neurosurgery Liverpool L9 7LJ UK and 2Department of Medicine University Hospital Aintree Liverpool L9 7AL UK Email Brian F Menezes - franmenezes77@ Beverley Cheserem - bevjeb@ Jothy Kandasamy - Donnacha O Brien - dfobstl@ Corresponding author Published 2 June 2008 Received 12 October 2007 Journal of Medical Case Reports 2008 2 188 doi l752-l947-2-188 Accepted 2 June 2008 This article is available from http content 2 l l88 2008 Menezes et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Simultaneous bilateral cerebrovascular infarction is relatively rare and its initial presentation as a space-occupying lesion is extremely uncommon. However bilateral infarction can result from unilateral occlusion of anomalous cerebral vasculature. Case presentation We report the case of a man presenting with lower limb weakness and aphasia of acute onset with initial computerised tomography suggesting bifrontal neoplasm. However further investigation confirmed bilateral anterior cerebral artery territory infarction with a hypoplastic left anterior cerebral artery with the right anterior cerebral artery supplying both frontal lobes an anatomical variant . We present the clinical and diagnostic features of this presentation and attempt to ascertain by reviewing existent medical literature the frequency and patterns of structural