Document Detail

Anterior cerebral artery territory infarction in the Lausanne Stroke Registry. Clinical and etiologic patterns.
MedLine Citation:
PMID:  2302085     Owner:  NLM     Status:  MEDLINE    
We studied 27 patients with acute stroke and a corresponding infarct in the anterior cerebral artery territory, as disclosed using computed tomography. Patients were selected from 1490 patients (1.8%) admitted consecutively to a community-based primary care center who underwent standard investigations. An embolic phenomenon from the internal carotid artery or from the heart explained the infarct in 17 patients (63%). Anterior cerebral artery occlusion without a potential source of embolism was found only in one Vietnamese patient. Neurologic features correlated well with the topography and size of infarct, including hemiparesis, hemihypesthesia, mutism at onset, transcortical motor aphasia, conflictual tasks impairment, mood disturbances, and, more uncommonly, incontinence, grasp reflex, hemineglect, acute confusional state, and unilateral left apraxia. These findings suggest that the etiologic spectrum of anterior cerebral artery infarcts is the same as that of middle cerebral artery infarcts.
J Bogousslavsky; F Regli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of neurology     Volume:  47     ISSN:  0003-9942     ISO Abbreviation:  Arch. Neurol.     Publication Date:  1990 Feb 
Date Detail:
Created Date:  1990-03-12     Completed Date:  1990-03-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372436     Medline TA:  Arch Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  144-50     Citation Subset:  AIM; IM    
Service de Neurologie, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
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MeSH Terms
Cerebral Infarction / complications*,  etiology,  pathology
Cerebrovascular Disorders
Heart Diseases / complications
Mental Disorders / etiology
Middle Aged
Nervous System Diseases / etiology
Risk Factors
Vascular Diseases / complications

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