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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

Pereira Ccs, Gabriel Scarabôtolo Gattás, Douglas Mendes Nunes, Rafael Fernandes Nunes and Daniela Barbieri Bariani
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Pereira Ccs: Department of Child Neurology, Hospital Infantil Sabará, Brazil
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

Open Access Journal of Neurology & Neurosurgery, 2018, vol. 8, issue 3, 48-53

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

Keywords: Open Access Journal of Neurology; Journal of Neurology & Neurosurgery; Open Access Journal; juniper publishers; neurology open access journals; journal of neurology; neurology indexed journals; neurology scholarly journals; journal of neurology; neurology journals impact factor; juniper publishers reivew (search for similar items in EconPapers)
Date: 2018
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Persistent link: https://EconPapers.repec.org/RePEc:adp:joajnn:v:8:y:2018:i:3:p:48-53

DOI: 10.19080/OAJNN.2018.08.555737

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