Acute bilateral middle cerebral artery occlusion with a review of published cases

  • Miran Jeromel University medical centre Ljubljana, Slovenia
  • Zoran Miloševič Department of Diagnostic and Interventional Neuroradiology, University Medical Centre Ljubljana, Zaloška 2, 1000 Ljubljana, Slovenia
  • Janja Pretnar Oblak Department for Vascular Neurology and Intensive Neurological Therapy, University Medical Centre Ljubljana, Zaloška 2, 1000 Ljubljana, Slovenia

Abstract

Acute bilateral middle cerebral artery (MCA) occlusion is extremely rare and associated with poor clinical outcome. There are only few reports in the literature about mechanical thrombectomy in acute bilateral occlusions.

To the best of our knowledge, we present the first case of subsequent contralateral large brain artery occlusion during the intravenous thrombolytic therapy, where the outcome after mechanical thrombectomy was not dependent on the time from stroke onset but exclusively on the capacity of collateral circulation.

Discussion about the case and comparison with few other published reports is presented.

Author Biography

Miran Jeromel, University medical centre Ljubljana, Slovenia
Department for diagnostic and interventional neuroradiology
Published
2020-05-31
How to Cite
Jeromel, M., Miloševič, Z., & Pretnar Oblak, J. (2020). Acute bilateral middle cerebral artery occlusion with a review of published cases. Radiology and Oncology, 54(2), 144-148. Retrieved from https://www.radioloncol.com/index.php/ro/article/view/3389
Section
Review