Image-guided delayed recanalization of middle cerebral artery occlusion.
Jeong-Min KimJun-Soo ByunPublished in: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology (2020)
Recent advance in devices, techniques, and peri-procedural patient management in the conduct of mechanical thrombectomy enables neuro-interventionists to recanalize occluded cerebral arteries with greater efficiency and safety than ever. It is conceivable that there exist a group of stroke patients who would benefit from recanalization beyond 24-h time window following the onset of symptom, if viable brain tissue remains at that time. We report a case of a 56-year-old patient who received mechanical thrombectomy 96 h after the onset of symptoms by diffusion/perfusion imaging. The application of advanced neuroimaging and analytical software can accurately estimate viable brain tissue, which enables clinicians to implement individualized therapeutic strategies for patients with acute stroke.
Keyphrases
- middle cerebral artery
- internal carotid artery
- cerebral ischemia
- case report
- resting state
- white matter
- high resolution
- atrial fibrillation
- subarachnoid hemorrhage
- functional connectivity
- endovascular treatment
- multiple sclerosis
- magnetic resonance imaging
- brain injury
- sleep quality
- depressive symptoms
- cerebral blood flow