| CT-defined large subcortical infarcts: correlation of location with site of cerebrovascular occlusive disease. | |
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MedLine Citation:
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PMID: 7502959 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To correlate the location of large subcortical infarcts with the site of cerebrovascular occlusive disease. METHODS: We examined CT and angiographic findings of 38 patients with major arterial occlusive disease and newly developed large subcortical infarcts of 2.0 cm or more, which were classified into three types: striatocapsular infarcts in the basal ganglia, terminal supply area infarcts in the corona radiata, and terminal supply area infarcts in the centrum semiovale. RESULTS: Two or three of the types of infarct were sometimes combined; the combination of the striatocapsular and corona radiata infarcts was the most frequent (14 [36.8%] of 38). Thirty-four (89.5%) had atherosclerotic major arterial occlusive diseases; 22 (57.9%) had occlusive diseases of the internal carotid artery, and 12 (31.6%) had diseases of the middle cerebral artery. The other 4 (10.5%) had embolic transient middle cerebral artery occlusion. Middle cerebral artery occlusive diseases frequently produced striatocapsular (13 [81.3%] of 16) and corona radiata (13 [81.3%] of 16) infarcts but never induced the centrum semiovale lesions. On the other hand, in patients with internal carotid artery occlusive disease, the centrum semiovale (16 [72.7%] of 22) was more susceptible to ischemia than the striatocapsular region (11 [50%] of 22) or the corona radiata (9 [40.9%] of 22). CONCLUSIONS: Middle cerebral artery occlusive diseases frequently produced striatocapsular and/or corona radiata infarcts but never induced the centrum semiovale lesions, which were usually associated with internal carotid artery occlusive diseases. |
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Authors:
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S Nakano; K Yokogami; H Ohta; T Goya; S Wakisaka |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: AJNR. American journal of neuroradiology Volume: 16 ISSN: 0195-6108 ISO Abbreviation: AJNR Am J Neuroradiol Publication Date: 1995 Sep |
Date Detail:
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Created Date: 1996-01-17 Completed Date: 1996-01-17 Revised Date: 2008-02-14 |
Medline Journal Info:
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Nlm Unique ID: 8003708 Medline TA: AJNR Am J Neuroradiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1581-5 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Junwakai Memorial Hospital, Komatsu, Japan. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Basal Ganglia / blood supply Basal Ganglia Diseases / radiography Carotid Artery, Internal / radiography Carotid Stenosis / radiography Cerebral Angiography Cerebral Infarction / radiography* Cerebral Ventricles / blood supply Corpus Striatum / blood supply Female Humans Intracranial Arteriosclerosis / radiography* Male Middle Aged Tomography, X-Ray Computed* |
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