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Course: Multimodal Neuroimaging Reveals and Guides Treatment of a Middle Cerebral Artery Web

CME Credits: 1.00

Released: 2023-11-13

A 41-year-old Chinese male had a history of hypertension and lung carcinoma and a 3-year history of episodic sudden-onset weakness and numbness in his left limbs. Over the 3 years prior to admission to our hospital, he experienced approximately 200 episodes of transient left limb weakness, each lasting for 1 to 2 hours. There were no associated changes in the visual field, alterations in consciousness, headaches, or neck pain. The patient initially sought medical attention at a local hospital, where echocardiography, electrocardiogram, and routine blood tests yielded normal results. However, magnetic resonance angiography revealed the presence of intracranial atherosclerosis. Subsequently, the patient started a daily antiplatelet regimen, but the episodes of transient ischemic attack (TIA) continued to occur frequently.


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