{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T10:46:51Z","timestamp":1769856411749,"version":"3.49.0"},"reference-count":40,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1982,4]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 A 19-year-old white man developed aphasia and right hemiplegia after several falls while waterskiing. Cerebral angiography displayed a ripple appearance and a \u201cstring of beads\u201d sign along the left middle cerebral artery, with occlusion or stenosis of most of its branches. The patient died after 6 days, of transtentorial herniation due to massive left cerebral infarction. At necropsy, the infarct was found to be due to a subintimal dissecting aneurysm of the left middle cerebral artery. Multifocal areas of intimal fibroelastic thickening (IFT) were found not only at the site of dissection, but also in the other cerebral arteries, most prominent at the bifurcations of the vessels.<\/jats:p>\n<jats:p content-type=\"fine-print\">A systematic study of cerebral arteries performed in six control cases revealed that IFT was present in a similar distribution to that seen in the patient described. However, the degree of IFT in this patient was greater than in the controls. Some individuals with excessive IFT may be more susceptible to cerebral dissecting aneurysm under a variety of stresses, especially trauma.<\/jats:p>","DOI":"10.3171\/jns.1982.56.4.0571","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T16:22:44Z","timestamp":1241799764000},"page":"571-576","source":"Crossref","is-referenced-by-count":32,"title":["Cerebral dissecting aneurysm and intimal fibroelastic thickening of cerebral arteries"],"prefix":"10.3171","volume":"56","author":[{"given":"Tomohiko","family":"Mizutani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Herbert I.","family":"Goldberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Parr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clive","family":"Harper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carson J.","family":"Thompson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1161\/01.STR.10.3.294","article-title":"Dissecting aneurysms of the basilar artery in 2 patients.","volume":"10","author":"Alexander","year":"1979"},{"key":"b2","series-title":"Arch Surg","doi-asserted-by":"publisher","first-page":"332","DOI":"10.1001\/archsurg.1969.01340090108019","article-title":"Recognition of cerebrovascular fibromuscular hyperplasia.","volume":"98","author":"Bergan","year":"1969"},{"key":"b3","series-title":"Angiology","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1177\/000331977502600303","article-title":"Age related changes of the middle cerebral artery and a comparison with the radial and coronary artery.","volume":"26","author":"Bouissou","year":"1975"},{"key":"b4","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1212\/WNL.25.6.573","article-title":"Bilateral dissecting aneurysms of the intracranial internal carotid arteries in an 8-year-old boy.","volume":"25","author":"Chang","year":"1975"},{"key":"b5","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1212\/WNL.13.7.613","article-title":"Post-traumatic middle cerebral artery occlusion.","volume":"13","author":"Duman","year":"1963"},{"key":"b6","series-title":"Radiology","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1148\/133.1.123","article-title":"Atherosclerotic subintimal hematoma of the carotid artery.","volume":"133","author":"Edwards","year":"1979"},{"key":"b7","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1161\/01.STR.5.2.161","article-title":"Fibromuscular dysplasia of the posterior cerebral artery: report of a case and review of the literature.","volume":"5","author":"Frens","year":"1974"},{"key":"b8","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"693","DOI":"10.3171\/jns.1980.53.5.0693","article-title":"Dissecting aneurysm of the cerebral arteries. 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