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. 2015:2015:191202.
doi: 10.1155/2015/191202. Epub 2015 Jun 10.

Carotid Endarterectomy in a Patient with Posterior Cerebral Artery Infarction: Influence of Fetal Type PCA on Atypical Clinical Course

Mehmet Kolukısa  1 , Azize Esra Gürsoy  1 , Gülşen Kocaman  1 , Hümeyra Dürüyen  1 , Hüseyin Toprak  2 , Talip Asil  1
Affiliations

Carotid Endarterectomy in a Patient with Posterior Cerebral Artery Infarction: Influence of Fetal Type PCA on Atypical Clinical Course

Mehmet Kolukısa et al. Case Rep Neurol Med. 2015.

Abstract

Fetal type PCA may positively affect clinical outcome in patients with ischemic stroke such as protection of a reserve blood flow capacity as well as negative effect on clinical outcome such as certain atypical pathological manifestations. We presented a patient with a posterior cerebral artery territory infarction due to an unexpected etiology as stenosis of internal carotid artery (ICA) with existence of fetal type PCA.

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Figures

Figure 1
Figure 1
(a) Diffusion MRA showed small infarct on left posterior cerebral artery territory. (b) Diffusion MRA showed large infarct on left posterior cerebral artery territory and multiple infarcts areas on left middle cerebral artery territory.
Figure 2
Figure 2
(a) Cranial MR angiography showed left fetal type PCA. (b) Cervical MR angiography showed critical stenosis on left proximal internal carotid artery.
See this image and copyright information in PMC

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