Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

01 March 2001

Idiopathic middle cerebral artery dissection in a 13 years old girl with alpha-1 antitrypsin deficiency

Marzanna Wołk, Wojciech Sobaniec, Eleonora Jankowicz

Case Rep Clin Pract Rev 2001; 2(3):185-190 :: ID: 475226

Abstract

We present a case report of a 13-year old girl who developed hemiparesis with central nerve VII palsy, sensorimotor aphasia and emotional disturbances. The described symptoms occured in health, patient experienced acute onset of left-side headache. Two day earlier she had paresthesies of the right upper limb. Computer tomography of brain was normal. Ultrasonography of carotid arteries in Doppler method revealed high flow on the left internal carotid artery. Cerebral arteriogram showed existing nearly complete occlusion of the middle left cerebral artery. Angio-MRI confirmed the stenosis of the middle left cerebral artery. MRI of brain showed the ischaemic focus of precentral gyrus and temporal pole of the left hemisphere. In laboratory tests alpha-1 antitripsin activity was decreased. After 3 weeks the anti-aggregation therapy, the improvement of cerebral metabolism and perfusion observed good clinical recovery. Minor symptoms of sensorimotor aphasia were persisted.

Keywords: middle cerebral artery dissection, Fibromuscular Dysplasia, alfa-1 antitrypsin deficiency

Add Comment 0 Comments

21

In Press

12 Feb 2024 : Case report  USA

Erdheim-Chester Disease Occult on Radiographs and CT but Visible on MRI and PET

Am J Case Rep In Press; DOI: 10.12659/AJCR.941169  

0:00

12 Feb 2024 : Case report  USA

Surgical Treatment of Spontaneous Superficial Temporal Artery Arteriovenous Malformation: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.942839  

13 Feb 2024 : Case report  Bahrain

Warfarin Woes: A Rare Case of Hemoperitoneum with Intramural Small Bowel Hematoma

Am J Case Rep In Press; DOI: 10.12659/AJCR.943519  

13 Feb 2024 : Case report  Portugal

Hemorrhagic Presentation in Primary Central Nervous System Lymphoma: A Case Study

Am J Case Rep In Press; DOI: 10.12659/AJCR.942951  

Most Viewed Current Articles

07 Mar 2024 : Case report  USA

Neurocysticercosis Presenting as Migraine in the United States

DOI :10.12659/AJCR.943133

Am J Case Rep 2024; 25:e943133

0:00

10 Jan 2022 : Case report  Germany

A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...

DOI :10.12659/AJCR.935263

Am J Case Rep 2022; 23:e935263

19 Jul 2022 : Case report  Saudi Arabia

Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19

DOI :10.12659/AJCR.936128

Am J Case Rep 2022; 23:e936128

23 Feb 2022 : Case report  USA

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923