Acute spasticity in malignant MCA stroke: a case report and review of literature
<p dir="ltr">Malignant Middle cerebral artery (MCA) infarction is characterized by rapid neurological deterioration due to cerebral edema. Spasticity, a common sequela of stroke, typically occurs days to weeks after the initial event. However, an acute onset of spasticity at presenta...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , , |
| منشور في: |
2025
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| الموضوعات: | |
| الوسوم: |
إضافة وسم
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| _version_ | 1864513533186670592 |
|---|---|
| author | Muhammad Faizan (12710607) |
| author2 | Azza Halfawi (22565189) Alreem Alkuwari (22565192) Mohamad Ali (7017575) Mohamed Elgassim (19261609) Shahzad Anjum (21245285) |
| author2_role | author author author author author |
| author_facet | Muhammad Faizan (12710607) Azza Halfawi (22565189) Alreem Alkuwari (22565192) Mohamad Ali (7017575) Mohamed Elgassim (19261609) Shahzad Anjum (21245285) |
| author_role | author |
| dc.creator.none.fl_str_mv | Muhammad Faizan (12710607) Azza Halfawi (22565189) Alreem Alkuwari (22565192) Mohamad Ali (7017575) Mohamed Elgassim (19261609) Shahzad Anjum (21245285) |
| dc.date.none.fl_str_mv | 2025-07-27T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1093/omcr/omaf114 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Acute_spasticity_in_malignant_MCA_stroke_a_case_report_and_review_of_literature/30541085 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Cardiovascular medicine and haematology Neurosciences Pharmacology and pharmaceutical sciences malignant MCA infarction acute spasticity ischemic stroke cerebral edema, anabolic steroids decompressive craniectomy stroke risk factors case report |
| dc.title.none.fl_str_mv | Acute spasticity in malignant MCA stroke: a case report and review of literature |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <p dir="ltr">Malignant Middle cerebral artery (MCA) infarction is characterized by rapid neurological deterioration due to cerebral edema. Spasticity, a common sequela of stroke, typically occurs days to weeks after the initial event. However, an acute onset of spasticity at presentation is extremely rare. We report a case of a 40-year-old male patient who presented with spasticity accompanied by aphasia and decreased consciousness. Left MCA occlusion was demonstrated on Computed tomography (CT) angiography. Cerebral edema developed rapidly, requiring decompressive hemicraniectomy (DH). The patient was a known smoker with androgenic anabolic steroid use. This case represents a rare presentation of malignant MCA infarction with acute spasticity and adds a unique aspect to the clinical spectrum of stroke presentation. This case emphasizes the need for awareness of atypical stroke presentation and the potential role of anabolic steroids in stroke risk.</p><h2>Other Information</h2><p dir="ltr">Published in: Oxford Medical Case Reports<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1093/omcr/omaf114" target="_blank">https://dx.doi.org/10.1093/omcr/omaf114</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_e3d997285437fd0c52aca749e0b60800 |
| identifier_str_mv | 10.1093/omcr/omaf114 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/30541085 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Acute spasticity in malignant MCA stroke: a case report and review of literatureMuhammad Faizan (12710607)Azza Halfawi (22565189)Alreem Alkuwari (22565192)Mohamad Ali (7017575)Mohamed Elgassim (19261609)Shahzad Anjum (21245285)Biomedical and clinical sciencesCardiovascular medicine and haematologyNeurosciencesPharmacology and pharmaceutical sciencesmalignant MCA infarctionacute spasticityischemic strokecerebral edema, anabolic steroidsdecompressive craniectomystroke risk factorscase report<p dir="ltr">Malignant Middle cerebral artery (MCA) infarction is characterized by rapid neurological deterioration due to cerebral edema. Spasticity, a common sequela of stroke, typically occurs days to weeks after the initial event. However, an acute onset of spasticity at presentation is extremely rare. We report a case of a 40-year-old male patient who presented with spasticity accompanied by aphasia and decreased consciousness. Left MCA occlusion was demonstrated on Computed tomography (CT) angiography. Cerebral edema developed rapidly, requiring decompressive hemicraniectomy (DH). The patient was a known smoker with androgenic anabolic steroid use. This case represents a rare presentation of malignant MCA infarction with acute spasticity and adds a unique aspect to the clinical spectrum of stroke presentation. This case emphasizes the need for awareness of atypical stroke presentation and the potential role of anabolic steroids in stroke risk.</p><h2>Other Information</h2><p dir="ltr">Published in: Oxford Medical Case Reports<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1093/omcr/omaf114" target="_blank">https://dx.doi.org/10.1093/omcr/omaf114</a></p>2025-07-27T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1093/omcr/omaf114https://figshare.com/articles/journal_contribution/Acute_spasticity_in_malignant_MCA_stroke_a_case_report_and_review_of_literature/30541085CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/305410852025-07-27T09:00:00Z |
| spellingShingle | Acute spasticity in malignant MCA stroke: a case report and review of literature Muhammad Faizan (12710607) Biomedical and clinical sciences Cardiovascular medicine and haematology Neurosciences Pharmacology and pharmaceutical sciences malignant MCA infarction acute spasticity ischemic stroke cerebral edema, anabolic steroids decompressive craniectomy stroke risk factors case report |
| status_str | publishedVersion |
| title | Acute spasticity in malignant MCA stroke: a case report and review of literature |
| title_full | Acute spasticity in malignant MCA stroke: a case report and review of literature |
| title_fullStr | Acute spasticity in malignant MCA stroke: a case report and review of literature |
| title_full_unstemmed | Acute spasticity in malignant MCA stroke: a case report and review of literature |
| title_short | Acute spasticity in malignant MCA stroke: a case report and review of literature |
| title_sort | Acute spasticity in malignant MCA stroke: a case report and review of literature |
| topic | Biomedical and clinical sciences Cardiovascular medicine and haematology Neurosciences Pharmacology and pharmaceutical sciences malignant MCA infarction acute spasticity ischemic stroke cerebral edema, anabolic steroids decompressive craniectomy stroke risk factors case report |