24 June 2020: Articles
Intracranial High-Grade Stenosis and Hyperhomocysteinemia Presenting as Cortical Subarachnoid Hemorrhage Concomitant with Acute Ischemic Stroke in a Young Man
Rare coexistence of disease or pathology
Weiwei Qin A , Weizheng Xie B , Mingrong Xia B , Robert Chunhua Zhao C* , Jiewen Zhang A*DOI: 10.12659/AJCR.920606
Am J Case Rep 2020; 21:e920606
Figure 1. (A–C) Axial brain CT shows cortical subarachnoid hemorrhage in the right superior frontal sulcus (red arrow). (D–F) Axial diffusion-weighted image (DWI) shows acute ischemic infarction in the right frontal lobe and corona radiata (red arrow). (G–I) The apparent diffusion coefficient (ADC) shows acute ischemic infarction in the same location (right frontal lobe and corona radiata) (blue arrow). (J, K) Axial FLAIR shows acute ischemic infarction in the right frontal lobe (red arrow). (L) Axial FLAIR shows cSAH in the right superior frontal sulcus (red arrow). (M) Discloses the M1-segment of the right middle cerebral artery (MCA) occlusion (red arrow), a bilateral anterior cerebral artery from the right internal carotid artery (RICA), fetal posterior cerebral artery (PCA), and a hypoplastic left vertebral artery. (N, O) DSA shows severe stenosis in the M1-segment of the right MCA (N, blue arrow), and shows the normal cerebral arteries in the right posterior circulation (O).