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Case Reports
. 2021 Apr;42(4):1541-1544.
doi: 10.1007/s10072-020-04918-0. Epub 2020 Nov 21.

Perfusion-computed tomography for simultaneous bilateral middle cerebral artery occlusion

Andrea Naldi  1   2 , Alessandra Di Liberto  3 , Enrica Duc  3 , Alessandro Rapellino  4 , Giacomo Paolo Vaudano  4   5 , Roberto Cavallo  3 , Andrea Boghi  5
Affiliations
Case Reports

Perfusion-computed tomography for simultaneous bilateral middle cerebral artery occlusion

Andrea Naldi et al. Neurol Sci. 2021 Apr.

Abstract

Bilateral simultaneous middle cerebral artery occlusion is a rare condition that may lead to severe neurological disability or death, thus requiring rapid intervention in order to restore vessels patency and brain perfusion. Perfusion-computed tomography is demonstrated to be a fundamental tool for selecting stroke patients candidate to mechanical thrombectomy, but its role for guiding the optimal strategy of endovascular treatment in concomitant multivessel cerebral occlusion has never been reported. We describe a case of bilateral middle cerebral artery occlusion in which perfusion-computed tomography was crucial both for addressing to endovascular procedure and planning the sequence treatment of mechanical thrombectomies.

Keywords: Bilateral; Mechanical thrombectomy; Middle cerebral artery occlusion; Perfusion-computed tomography.

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