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AJNR - American Journal of Neuroradiology

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A Clinical Example of the "Limping Brain" Syndrome: A Case Report

As’ad Ehtisham^a and Marc I. Chimowitz^a

^a From the Department of Neurology, Emory University Hospital, Atlanta, GA

View larger version (76K): [in a new window]   FIG 1. A SPECT scan (A) shows decreased perfusion in the left MCA territory and MR image (B) shows moderate periventricular white matter changes but no infarct in the left MCA territory.

View larger version (106K): [in a new window]   FIG 2. Preangioplasty angiogram (A) shows severe stenosis of the M1 segment of the left MCA. Angiograms (B and C) show a delay in filling of the left MCA compared with those of the left ACA; angiograms (C and D) also show poor pial collateralization between left ACA and left MCA branches.

View larger version (121K): [in a new window]   FIG 3. Postangioplasty angiogram shows moderate improvement of left MCA stenosis.

View larger version (86K): [in a new window]   FIG 4. Postangioplasty SPECT scan (A) shows normal perfusion in MCA territory and MR image (B) shows no MCA infarct.