open access

Vol 49, No 6 (2015)
Case reports
Submitted: 2015-04-06
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Emergency microsurgical embolectomy in acute ischemic stroke with diffusion-negative MRI

Ki Seong Eom, Daw Won Kim, Sungdon Kang
DOI: 10.1016/j.pjnns.2015.08.001
·
Neurol Neurochir Pol 2015;49(6):432-435.

open access

Vol 49, No 6 (2015)
Case reports
Submitted: 2015-04-06

Abstract

Although diffusion-weighted imaging (DWI) is highly sensitive and specific for the detection of acute ischemic injury, there are increasing reports that it may fail to demonstrate an acute stroke. Here, we present a case involving an acute ischemic stroke with a false-negative DWI in a 64-year-old woman who had undergone an emergency microsurgical embolectomy for an occluded middle cerebral artery (MCA). Although the endovascular mechanical embolectomy failed in treating the occluded MCA, we were able to successfully treat our patient with the second treatment option of a microsurgical embolectomy. Microsurgical embolectomy might be the treatment of choice, especially if the mechanical catheter is expected to not be able to access the target artery due to tortuous vascular structures.

Abstract

Although diffusion-weighted imaging (DWI) is highly sensitive and specific for the detection of acute ischemic injury, there are increasing reports that it may fail to demonstrate an acute stroke. Here, we present a case involving an acute ischemic stroke with a false-negative DWI in a 64-year-old woman who had undergone an emergency microsurgical embolectomy for an occluded middle cerebral artery (MCA). Although the endovascular mechanical embolectomy failed in treating the occluded MCA, we were able to successfully treat our patient with the second treatment option of a microsurgical embolectomy. Microsurgical embolectomy might be the treatment of choice, especially if the mechanical catheter is expected to not be able to access the target artery due to tortuous vascular structures.

Get Citation

Keywords

Diffusion-weighted imaging, Acute ischemic injury, Microsurgical embolectomy

About this article
Title

Emergency microsurgical embolectomy in acute ischemic stroke with diffusion-negative MRI

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 49, No 6 (2015)

Pages

432-435

DOI

10.1016/j.pjnns.2015.08.001

Bibliographic record

Neurol Neurochir Pol 2015;49(6):432-435.

Keywords

Diffusion-weighted imaging
Acute ischemic injury
Microsurgical embolectomy

Authors

Ki Seong Eom
Daw Won Kim
Sungdon Kang

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