BACKGROUND: Compared to those found in the vertebrobasilar system, intracranial dissection in the anterior circulation is relatively rare, especially in the anterior cerebral artery (ACA). Moreover, only several cases of ACA dissection that underwent endovascular treatment have been reported. Here we present a rare case of gradually developing ACA dissecting @entity439 causing @entity385 , successfully treated by stent-assisted coil embolization. CASE DESCRIPTION: A 36-year-old @entity1 was admitted with sudden right @entity1269 . Diffusion-weighted magnetic resonance (MR) imaging showed @entity385 in the left ACA territory, and MR angiography showed segmental @entity850 at the A2 portion of the left ACA. Three-dimensional digital subtraction angiogram showed @entity384 and @entity850 at the left A2 portion. We diagnosed ACA dissection causing acute @entity385 and treated the @entity1 conservatively. Five months after the onset, the dissecting artery at the left A2 portion formed a gradually dilating @entity439 , suggesting increased risk for @entity1756 . We attempted endovascular treatment entailing coil embolization of an @entity439 while preserving the left A2 with stent assistance. The @entity1 remained neurologically stable 6 months after the procedure. CONCLUSIONS: Although there are few reported cases of ACA dissection where endovascular treatment was attempted, we consider stent-assisted embolization for gradually developing ACA dissecting @entity439 as an alternative method to prevent @entity548 and recurrent @entity1188 .

Stent-assisted coil embolization for anterior cerebral artery dissection presented with XXXX .

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity1269 :: ('MESH:D010291', 'Disease') :: ['hemiparesis'] @entity384 :: ('MESH:D002311', 'Disease') :: ['segmental dilatation'] @entity1756 :: ('MESH:D017542', 'Disease') :: ['aneurysmal rupture'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysm'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['infarction'] @entity850 :: ('MESH:D003251', 'Disease') :: ['stenosis'] @entity385 :: ('MESH:D002544', 'Disease') :: ['cerebral infarction']
@entity385 :: (MESH:D002544,Disease) :: ['cerebral infarction']
