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- W2912275850 abstract "A 65-year-old woman was presented with a sudden onset of anterograde amnesia and iterative questioning after physical activity. Her past medical history included hypertension, diabetes, 2 symptomatic stroke events involving left temporal lobe infarction (Fig 1, A), and left basal ganglia infarction. There were no other positive neurological signs on this admission except for the previously right hemiparesis. At 3 days after onset, diffusion-weighted imaging (DWI) showed left hippocampal restricted diffusion foci (Fig 1, B). Magnetic resonance angiography indicated multiple intracranial vascular stenosis, and its novelty was a rare variation of left posterior cerebral artery (PCA), which was divided into 2 respective branches including the parietooccipital branch and temporal branch named accessory PCA. 1 Uchino A. Saito N. Takahashi M. et al. Variations of the posterior cerebral artery diagnosed by MR angiography at 3 teslas. Neuroradiology. 2016; 58: 1-6 Google Scholar Two branches originated directly from left internal carotid artery, and a severe focal stenosis was found in the accessory PCA (Fig 1, C). At the fourth day, we conducted transcranial Doppler (TCD) emboli monitoring, we firstly located the PCA monitoring area by repeatedly adjusting the monitoring depth and sampling volume combined with compression test of carotid artery. Fortunately, we detected small amount of abnormal signals in left accessory PCA after 1 hour of monitoring, which were further confirmed to be microemboli signals rather than signal artifacts by the spindle wave moving with depth of detection (Fig 1, D). Using the same procedure, any microemboli signals were not be detected in bilateral middle cerebral artery and contralateral PCA." @default.
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- W2912275850 date "2019-04-01" @default.
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- W2912275850 title "Transient Global Amnesia Secondary to Atherosclerotic Stenosis of Accessory Posterior Cerebral Artery" @default.
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- W2912275850 doi "https://doi.org/10.1016/j.jstrokecerebrovasdis.2018.12.046" @default.
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