Acute bilateral middle cerebral artery occlusion with a review of published cases

Abstract

Acute bilateral middle cerebral artery (MCA) occlusion is extremely rare and associated with poor clinical outcome. There are only few reports in the literature about mechanical thrombectomy in acute bilateral occlusions.

To the best of our knowledge, we present the first case of subsequent contralateral large brain artery occlusion during the intravenous thrombolytic therapy, where the outcome after mechanical thrombectomy was not dependent on the time from stroke onset but exclusively on the capacity of collateral circulation.

Discussion about the case and comparison with few other published reports is presented.