TABLE 1:

Clinical characteristics and neuroradiologic findings in 18 cases of anterior cerebral artery dissection

Case No.Age (yr)/SexPresentation at OnsetSite of LesionInitial Angiographic FindingsConfirmation of DissectionOutcome
139/FBleedingA1S + DOpeVS
266/FBleedingA1S + DOpeVS
366/FBleedingA1S + DOpeMD
449/FBleedingA2SDLGR
553/MBleedingA3SDLGR
643/FIschemiaA1–2SIMHGR
750/FIschemiaA2SDLGR
865/MIschemiaA2SDLGR
956/MIschemiaA2S + DDLGR
1067/FIschemiaA1–2S + DDLGR
1152/FIschemiaA2S + DIMHGR
1236/MIschemiaA2SIMHMD
1356/FIschemiaA2S + DDLGR
1450/FIschemiaA2SIMH, DLGR
1540/MCombined*A2SIMH, DLGR
1664/FCombined*A2S + DIMH, DLGR
1749/FCombined*A2S + DOpeGR
1849/MCombined*A2–3SDLGR
  • Note.—F indicates female; M, male; S + D, stenosis with dilation; S, stenosis without dilation; Ope, discoloration of affected artery around aneurysmal dilation due to intramural hematoma seen during operation; DL, double lumen sign seen on cerebral angiograms; IMH, hyperintensity around signal void due to intramural hematoma seen on T1-weighted MR images; VS, vegetative state; MD, moderate disability; GR, good recovery.

  • * Four cases showed ischemic symptoms and CT evidence of slight subarachnoid hemorrhage on initial CT scans.

  • In 4 cases, the double lumen sign was seen on follow-up angiography.