Complete recovery after spontaneous thrombolysis of a middle cerebral artery embolism: An imaging report

Atsuo Tanaka , Futoshi Mihara , Takashi Yoshiura , Yasuo Kuwabara , Hiroaki Ooboshi , Setsuro Ibayashi , Mitsuo Iida , Hiroshi Honda
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Abstract

A 53-year-old-man demonstrated an embolism of the left middle cerebral artery, a rapid spontaneous thrombolysis and a subsequent recovery of the cerebral perfusion. These events were documented using MR angiography, perfusion-weighted MR imaging and digital subtraction angiography. The patient recovered consciousness and his symptoms of right hemiparesis and aphasia disappeared completely, representing the so-called spectacular shrinking deficit. This case provides evidence that an early spontaneous thrombolysis may recover cerebral perfusion and alleviate the symptoms of the patient.

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脑中动脉栓塞自发性溶栓后完全恢复:一份影像学报告
一位53岁的男性表现出左大脑中动脉栓塞,迅速自发溶栓和随后的脑灌注恢复。这些事件记录使用磁共振血管造影,灌注加权磁共振成像和数字减影血管造影。患者意识恢复,右半瘫、失语症状完全消失,表现为壮观的萎缩赤字。本病例证明早期自发性溶栓可恢复脑灌注,减轻患者症状。
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