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A Case of Idiopathic Progressive Middle Cerebral Arteriopathy in A Child with a Lenticulostriate Stroke and the Cerebral Perfusion Improvement after Edas Surgery

Author

Listed:
  • Pereira CCS

    (Department of Child Neurology, Hospital Infantil Sabará, Brazil)

  • Gabriel Scarabôtolo Gattás
  • Douglas Mendes Nunes

    (Department of Neuroradiology, Hospital Infantil Sabará, São Paulo, Brazil)

  • Rafael Fernandes nunes

    (Department of Nuclear Medicine, Hospital Sírio-Libanês, São Paulo, Brazil)

  • Daniela Barbieri Bariani

    (Department of Neurosurgery, Hospital Infantil Sabará, São Paulo, Brazil)

Abstract

This is a case report of a child, at the age of 3 years old with symptoms of chorea, at the left side and worsening of the hyperactivity, and the expressive language. The magnetic resonance image (MRI) and magnetic resonance angiography (MRA) performed revealed lenticulostriate stroke and severe stenosis of the right middle cerebral artery (MCA), M1 portion. After two months, a remarkable worsening at the MCA, with reduction of flux at the distal branches and It was done the encephalo-duro-arterio-synangiosis (EDAS) procedure with a graft of the superficial temporal artery. After 8 months, a single photon emission tomography (SPECT) was done, with moderate perfusional asymmetry with reduced blood flow mostly in right middle cerebral artery (rMCA) territory. The SPECT done 16 months after, the first one, show ed a clear improvement of the blood flow to the rMCA territory, and minimal perfusional asymmetry between right and left hemispheres

Suggested Citation

  • Pereira CCS & Gabriel Scarabôtolo Gattás & Douglas Mendes Nunes & Rafael Fernandes nunes & Daniela Barbieri Bariani, 2018. "A Case of Idiopathic Progressive Middle Cerebral Arteriopathy in A Child with a Lenticulostriate Stroke and the Cerebral Perfusion Improvement after Edas Surgery," Open Access Journal of Neurology & Neurosurgery, Juniper Publishers Inc., vol. 8(3), pages 48-53, August.
    • Handle: RePEc:adp:joajnn:v:8:y:2018:i:3:p:48-53
    DOI: 10.19080/OAJNN.2018.08.555737
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