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Open Access Highly Accessed Case report

Corkscrew angiopathy of intracranial vessels in a young stroke patient: a case report

Anand Alurkar, Lakshmi Sudha P Karanam* and Sagar P Oak

Author Affiliations

Department of Neurointervention, KEM Hospital, Pune, India

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Journal of Medical Case Reports 2012, 6:358  doi:10.1186/1752-1947-6-358

Published: 23 October 2012

Abstract

Introduction

We present a rare finding of a ‘corkscrew appearance’ of the distal cerebral vessels in a young Asian woman who presented with acute stroke.

Case presentation

A 32-year-old Asian woman presented with a 3-month history of recurrent right-sided transient ischemic attacks. Her clinical workup and brain imaging results were normal. A digital subtraction angiogram revealed an abnormal corkscrew appearance of all intracranial distal vessels. She was discharged on a single antiplatelet drug. She had no further transient ischemic attacks on clinical follow-up. A digital subtraction angiogram performed 1 year later revealed no changes in the appearance of these vessels.

Conclusion

To the best of our knowledge no similar previous reports exist in the literature. The present report describes a unique case of an unusual corkscrew appearance of the distal intracranial vessels. However, the underlying etiology in the present case remains unknown.

Keywords:
Corkscrew angiopathy; Stroke; Digital subtraction angiography