Successful double mechanical thrombectomy in bilateral M1 middle cerebral artery occlusion

  • Delphine London
  • Frédéric LondonEmail author
  • Yves Vandermeeren
  • Fabrice C. Deprez
Letter to the Editor


Multivessel occlusion (MVO) is not uncommon in patients with acute ischemic stroke (AIS) and arises most commonly from thromboembolic sources such as atrial fibrillation (AF). Acute bilateral middle cerebral artery (MCA) M1 segment occlusion is, however, rare, but raises significant issues for stroke neurologists and interventional radiologists regarding which lesion should be treated first. We describe a case of acute bilateral MCA M1 segment occlusion successfully treated with bilateral thrombectomy.

Case presentation

An 84-year-old woman with history of atrial fibrillation and arterial hypertension was admitted to the Emergency Department at 11.10 p.m. At 8.50 p.m., she presented an aphasia and a right faciobrachial palsy. The initial National Institutes of Health Stroke Scale (NIHSS) score was 11. She was intubated and sedated before admission due to seizures. Brain computed tomography (CT) demonstrated bilateral hyperdense MCA and CT angiography confirmed bilateral...


Stroke Bilateral M1 occlusion Mecanical thrombectomy 




Compliance with ethical standards

Conflict of interest

The authors declare no conflict of interest regarding this case report.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

For this type of study, formal consent is not required.


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Copyright information

© Belgian Neurological Society 2019

Authors and Affiliations

  • Delphine London
    • 1
  • Frédéric London
    • 2
    Email author
  • Yves Vandermeeren
    • 2
  • Fabrice C. Deprez
    • 1
  1. 1.Department of Radiology, CHU UCL NamurUniversité catholique de Louvain (UCLouvain)YvoirBelgium
  2. 2.Department of NeurologyCHU UCL Namur, Université catholique de Louvain (UCLouvain)YvoirBelgium

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