AI Article Synopsis
- A 45-year-old man experienced multiple strokes due to issues in a specific artery in his neck, leading to a second stroke despite conservative treatment.
- The diagnosis included a defect in the left persistent 1st intersegmental artery, with evidence of a thrombus and compression during head rotation, but no instability in the neck was found.
- After surgery to stabilize his neck, the patient did not experience any further strokes for two years, highlighting the potential link between this artery issue and strokes, particularly in middle-aged individuals, and the usefulness of 3D imaging in understanding these cases.
Article Abstract
A 45-year-old man suffered multiple cerebral infarctions in the vertebrobasilar artery territory, followed by second stroke against conservative treatment. Radiological examinations revealed intra-arterial defect in left persistent 1st intersegmental artery (PFIA) at C1 level, suggesting mural thrombus, and mechanical compression of left PFIA at the level with head rotation to the right clearly revealed by reconstructed 3-dimensional radiological images, but no findings of atlantoaxial instability. One month after the second stroke, posterior fixation was performed. Postoperative course was uneventful without subsequent stroke for 24 months. This unique case demonstrated that PFIA might associate with cerebral stroke as a clinical condition of bow hunter's stroke even in middle age. Reconstructed 3-dimensional radiological images might be useful for clear demonstration of the pathophysiology in this complex clinical entity.
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| http://dx.doi.org/10.1080/02688697.2021.1940854 | DOI Listing |
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