ArticleClinical neuroradiology2016
Symptomatic unruptured isolated middle cerebral artery dissection: clinical and magnetic resonance imaging features.
Article in Clinical neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Research progress in intracranial artery dissections over past 25 years: a review and bibliometric analysis.Frontiers in neurology · 2025Pooled it
- [Spontaneous craniocervical dissection].Der Radiologe · 2021Review
- A case of middle cerebral artery dissection presenting with capsular warning syndrome: diagnosis and imaging follow-up based on high-resolution MRI.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021Article
- Differential Diagnosis of Intraplaque Hemorrhage and Dissection on High-Resolution MR Imaging in Patients with Focal High Signal of the Vertebrobasilar Artery on TOF Imaging.Diagnostics (Basel, Switzerland) · 2021Article
- Association Between Autoimmune Diseases and Spontaneous Cervicocranial Arterial Dissection.Frontiers in immunology · 2021Article
- Practical value of three-dimensional high resolution magnetic resonance Vessel Wall imaging in identifying suspicious intracranial vertebrobasilar dissecting aneurysms.BMC neurology · 2020Article
- Vessel Wall Imaging of Cerebrovascular Disorders.Current treatment options in cardiovascular medicine · 2019Review
- Late delayed radiation-induced cerebral Arteriopathy by high-resolution magnetic resonance imaging: a case report.BMC neurology · 2019Article
- Imaging of Carotid Dissection.Current pain and headache reports · 2019Review
- Superficial Temporal Artery-middle Cerebral Artery Anastomosis for Ischemic Stroke due to Dissection of the Intracranial Internal Carotid Artery with Middle Cerebral Artery Extension.NMC case report journal · 2018Article
- Post-ischaemic hyperperfusion in traumatic middle cerebral artery dissection detected by arterial spin labelling of magnetic resonance imaging.The neuroradiology journal · 2016Article
- Vessel Wall Imaging of the Intracranial and Cervical Carotid Arteries.Journal of stroke · 2015Review
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIsolated middle cerebral artery dissection (MCAD) is a rare but important clinical entity. The purpose of this study is to demonstrate the clinical and magnetic resonance imaging (MRI) features of symptomatic unruptured isolated MCAD.
methodsWe retrospectively analyzed clinical characteristics and MRI features of eight consecutive ischemic stroke patients diagnosed with unruptured isolated MCAD over a 1-year period.
resultsAll the patients had symptoms of cerebral infarction, whereas one patient was presented as transient ischemic attack. The most common finding of MCAD on the magnetic resonance angiography (MRA) images was irregular stenosis, found in six patients, followed by double lumen in three, while there was an occlusion in one, as well as stenosis and dilation in one. A total of five of seven patients demonstrated susceptibility vessel signal in the involved segment of MCA on susceptibility-weighted imaging. The high-resolution cross-sectional MRI (hrMRI) delineated intramural hematoma and double lumen in seven patients, respectively, and intimal flap in three, while gadolinium-enhanced T1-weighted images (WI) visualized mural linear or intramural crescentic enhancement in all the patients. In acute and chronic phase, the intramural hematomas appeared isointense or slightly hyperintense or unrecognizable, while gadolinium-enhanced T1WI showed slight to obvious enhancement. Subacute hematomas had a characteristic of crescentic hyperintense on T1- and T2WI.
conclusionsThe presence of unruptured isolated MCAD should be considered when a healthy young subject suffers from a sudden onset of ischemic symptoms or a minor head trauma accompanied by headache. Early MRA with combination of hrMRI precontrast and contrast-enhanced T1-weighted sequence may be helpful in definite diagnosis.
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