Minor stroke with bilateral acute infarctions and combined vascular anomalies: A complex case report

Fabrizio Giammello; Cristina Dell'Aera; Francesco Grillo; Masina Cotroneo; Carmela Casella; Paolino La Spina; Carmelo T Currò; Mariano Velo; Francesca Granata; Antonio Toscano; Rosa F Musolino; Maria C Fazio

doi:10.1016/j.heliyon.2020.e05253

Minor stroke with bilateral acute infarctions and combined vascular anomalies: A complex case report

Heliyon. 2020 Oct 19;6(10):e05253. doi: 10.1016/j.heliyon.2020.e05253. eCollection 2020 Oct.

Affiliations

¹ Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
² Neuroradiology Unit, Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, Messina, Italy.

Abstract

We report the case of a patient with bilateral acute ischemic lesions (AIS) in middle cerebral artery (MCA) territory associated with an extremely rare combination of anomalies of the aortic arch and the left internal carotid artery (ICA). The diagnosis deposed for bilateral minor embolic stroke of undetermined source (ESUS), inpatient with patent foramen ovale (PFO) and positive antiphospholipid (aPL) test. To our knowledge, this is the first description of a patient with this rare combination of vascular anomalies.

Keywords: COCA; Combination of vascular anomalies; Diagnostics; ESUS; Immune disorder; Left OA; Medical imaging; Minor stroke with bilateral acute infarctions; Neurology; Radiology; aRSA.

Publication types

Case Reports