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A 69 year-old African American woman developed transient left sided weakness which resolved completely. MRI of the brain was normal. MRA suggested a possible abnormality in the right middle cerebral artery (MCA) and an angiogram was performed. |
Intracranial Disease: Cerebral Angiogram, right internal carotid artery (ICA) injection. Note the focal stenosis of the proximal middle cerebral artery (MCA). This patient has primary disease of the intracranial circulation. Atherosclerosis affecting the MCA, anterior cerebral artery (ACA) and posterior cerebral artery (PCA) is more common in certain racial and ethnic groups. This pattern is more common in people of African American and Asian descent, compared with Caucasians in whom atherosclerosis is often more prominent in the carotid and proximal vertebral arteries. |
Revised
11/30/06
Copyrighted 2006. David C Preston