Shyam Prabhakaran1, John W Krakauer. 1. Stroke and Critical Care Division, The Neurological Institute, Columbia University, New York, NY 10032, USA.
Abstract
BACKGROUND: Subcortical transient ischemic attacks are usually seen in individuals with small-vessel disease. They are often refractory to medical treatment and progress to infarction in many cases. PATIENT: We describe a young man with an unusual and protracted case of recurrent capsular ischemia due to postcoital middle cerebral artery dissection. CONCLUSION: Spontaneous middle cerebral artery dissection should be considered in young patients presenting with subcortical transient ischemic attacks.
BACKGROUND: Subcortical transient ischemic attacks are usually seen in individuals with small-vessel disease. They are often refractory to medical treatment and progress to infarction in many cases. PATIENT: We describe a young man with an unusual and protracted case of recurrent capsular ischemia due to postcoital middle cerebral artery dissection. CONCLUSION: Spontaneous middle cerebral artery dissection should be considered in young patients presenting with subcortical transient ischemic attacks.