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Extensive bihemispheric ischemia caused by acute occlusion of three major arteries to the brain

Noriko Hagiwara1, Kazunori Toyoda, Shigeru Fujimoto

  • 1Department of Cerebrovascular Disease and Clinical Research Institute, National Kyushu Medical Center, Jigyohama 1-8-1, Chuou-ku, Fukuoka 810-8563, Japan. hagiwara@qmed.hosp.go.jp

Journal of the Neurological Sciences
|June 18, 2003
PubMed

Insights

This case report details a rare cardioembolic stroke causing simultaneous occlusion of bilateral internal carotid arteries and the basilar artery, leading to widespread brain ischemia and fatal outcome.

Area of Science:

  • Neurology
  • Cardiology
  • Radiology

Background:

  • Cardioembolic stroke is a significant cause of cerebrovascular events.
  • Simultaneous occlusion of multiple major cerebral arteries is exceptionally rare.

Observation:

  • An 86-year-old female experienced recurrent cardioembolic strokes.
  • The final event involved sudden coma and fatality due to acute occlusion of bilateral internal carotid arteries (ICAs) and the basilar artery.

Findings:

  • Diffusion-weighted magnetic resonance imaging (MRI) revealed extensive bilateral cerebral hemisphere ischemia.
  • Increased signal intensity and "glittering" cortical rims were observed on MRI, indicating severe brain parenchyma damage.

Implications:

  • This case highlights a unique and devastating presentation of cardioembolic stroke.
  • It underscores the critical role of advanced neuroimaging in diagnosing complex cerebrovascular occlusions.

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