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Case Reports
. 2005 Jun-Jul;26(6):1521-4.

A clinical example of the "limping brain" syndrome: a case report

As'ad Ehtisham  1 , Marc I Chimowitz
Affiliations
Case Reports

A clinical example of the "limping brain" syndrome: a case report

As'ad Ehtisham et al. AJNR Am J Neuroradiol. 2005 Jun-Jul.

Abstract

We present a case report of a patient presenting with persistent aphasia for 1 week and cerebral hypoperfusion documented by single-photon emission tomography, both of which resolved completely after successful angioplasty of the symptomatic artery. This case represents a rare clinical example of "limping brain syndrome."

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Figures

F<sc>ig</sc> 1.
Fig 1.
A SPECT scan (A) shows decreased perfusion in the left MCA territory and MR image (B) shows moderate periventricular white matter changes but no infarct in the left MCA territory.
F<sc>ig</sc> 2.
Fig 2.
Preangioplasty angiogram (A) shows severe stenosis of the M1 segment of the left MCA. Angiograms (B and C) show a delay in filling of the left MCA compared with those of the left ACA; angiograms (C and D) also show poor pial collateralization between left ACA and left MCA branches.
F<sc>ig</sc> 3.
Fig 3.
Postangioplasty angiogram shows moderate improvement of left MCA stenosis.
F<sc>ig</sc> 4.
Fig 4.
Postangioplasty SPECT scan (A) shows normal perfusion in MCA territory and MR image (B) shows no MCA infarct.
See this image and copyright information in PMC

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