Therapy of hypoperfusion and embolism from severe MCA stenosis with antithrombotic medication

Background and purpose: Hemodynamic ischemia in patients with large artery stenosis usually necessitates an increase of the perfusion pressure whereas an embolic pathology may be adequately handled by the administration of antithrombotic drugs. We present a patient in whom both pathologies were successfully treated by antiplatelet drugs. Summary of case: A 48-year-old woman presented with a recurrent symptomatic severe left middle cerebral artery stenosis. MRI depicted left-hemispheric ischemic infarcts in the deep and subcortical white matter and in the cortical border-zone. Cerebrovascular reserve in the distr…