A case of branch atheromatous disease with recurrent ischemic stroke
- VernacularTitle:Тархины салаа судасны хатууралт эмгэгийн шалтгаант тархины цус тасалдах давтан харвалтын тохиолдол
- Author:
Baigalmaa Ts
1
;
Altankhuyag J
2
;
Ganbaatar R
3
;
Baigalmaa G
3
;
Natsagdorj L
3
Author Information
1. Department of Neurology, Ach International Hospital
2. Radiology Referral Center, Third State Central Hospital
3. Neurology Center, Third State Central Hospital
- Publication Type:Case Reports
- Keywords:
Branch atheromatous disease;
recurrence;
imaging;
treatment
- From:
Mongolian Journal of Health Sciences
2026;96(6):255-261
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:Branch atheromatous disease (BAD) is believed to be one subtype of ischemic stroke brought on by plaque accumulation that obstructs or stenoses the entrance of penetrating branches. Based on clinical status, risk factors, laboratory results, and radiographic features of infarct and blood vessel morphologies, BAD has been differentiated from large-vessel occlusion and small-vessel disease. BAD-induced stroke has been strongly associated with worse outcomes than lacunar strokes, including high rates of early neurological deterioration (END), recurrent transient ischemic attacks and strokes, and disability. Determining treatment options and each patient’s prognosis depends on early identification of BAD.
Case Presentation:A 34-year-old male with a history of recurrent acute ischemic stroke within 7 months, caused by stenosis of the M1 segment of the right middle cerebral artery, was hospitalized twice at the Third Central Hospital of Mongolia. Intravenous Thrombolytic therapy (tPA) was administered during each admission.
Conclusion:Precise diagnosis of BAD is crucial for planning subsequent treatment and secondary prevention.
- Full text:202609270106227619945_Тархины салаа судасны хатууралт эмгэгийн шалтгаант тархины цус тасалдах давтан.pdf