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Case Reports in Medicine
Volume 2009, Article ID 303695, 5 pages
http://dx.doi.org/10.1155/2009/303695
Case Report

Chronic Recanalization of Dissection of the Distal Anterior Cerebral Artery: Case Report and Review of the Literature

1Department of Neurosurgery, Toyama Hospital, International Medical Center of Japan, Tokyo 162-8655, Japan
2Department of Neurosurgery, Tokyo Kosei-Nenkin Hospital, 5-1 Tsukudo-cho, Shinjuku-ku, Tokyo 162-8543, Japan

Received 26 March 2009; Accepted 16 July 2009

Academic Editor: Aaron S. Dumont

Copyright © 2009 Shuichiro Asano and Tetsuo Hara. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The natural history of atraumatic idiopathic dissection of the distal anterior cerebral artery is still unclear. We present a 38-year-old man who had dissection of the left segment of this vessel associated with subintimal hematoma and infarction. Because of complete stroke in acute stage, he did not undergo surgery. About three months later, administration of aspirin (100 mg/day) was started. At nine months, magnetic resonance angiography revealed complete recanalization of the dissection. To assess the outcome of dissection, we should observe the patient for at least one year.