Sphenoid Ridge Meningioma Presenting as Acute Cerebral Infarction
Journal of Korean Neurosurgical Society
; : 99-102, 2014.
Article
em En
| WPRIM
| ID: wpr-189703
Biblioteca responsável:
WPRO
ABSTRACT
A previously healthy 52-year-old man presented to the emergency room with acute onset left hemiparesis and dysarthria. Brain computed tomography and magnetic resonance examinations revealed acute cerebral infarction in the right middle cerebral artery territory and a sphenoid ridge meningioma encasing the right carotid artery terminus. Cerebral angiography demonstrated complete occlusion of the right proximal M1 portion. A computed tomography perfusion study showed a wide area of perfusion-diffusion mismatch. Over the ensuing 48 hours, left sided weakness deteriorated despite medical treatment. Emergency extracranial-intracranial bypass was performed using a double-barrel technique, leaving the tumor as it was, and subsequently his neurological function was improved dramatically. We present a rare case of sphenoid ridge meningioma causing acute cerebral infarction as a result of middle cerebral artery compression.
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Índice:
WPRIM
Assunto principal:
Paresia
/
Perfusão
/
Encéfalo
/
Angiografia Cerebral
/
Artérias Carótidas
/
Infarto Cerebral
/
Artéria Cerebral Média
/
Disartria
/
Emergências
/
Serviço Hospitalar de Emergência
Limite:
Humans
Idioma:
En
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
2014
Tipo de documento:
Article