LA Middle cerebral artery Occlusion

Hoang Linh Duong

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- A 50 year old man with no medical history presented to emergency department at Can Tho SIS hospital with sudden onset of weakness of the left side for 3 hours ago.
- On examination, he had GCS 15 score, Broca aphasia, left hemiplegia ( Muscle strength is 3/5), left facial droop; NISHH = 16 score.
- The head MRI show hypersignal in the right middle cerebral artery territory and occlusion of the right MCA.
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- The cerebral DSA confirm occlusion of the right MCA.
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- Mechanical thrombectomy with suction aspiration 2 times was performed with successful TICI (Thrombolysis in Cerebral Infarction) 3 revascularization.
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- The head CT after 12 hours of intervention
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- The next day, he had only a very mild left hemiplegia (NIHSS = 0).
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- He had a full recovery and was discharged home 5 days later.
 

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