Document Detail

Cerebral angioplasty in a patient with vascular dementia.
MedLine Citation:
PMID:  9196477     Owner:  NLM     Status:  MEDLINE    
A 66-year-old man with a history of previous transient ischemic attacks had progressive memory and gait disturbance caused by severe stenoses of both the internal carotid arteries and vertebral arteries. The patient underwent percutaneous transluminal angioplasty of the vertebral arteries and endarterectomy of the internal carotid arteries with satisfactory results. On admission, the patient was alert, but disoriented to time and place. He exhibited mild motor weakness in both legs. Neuropsychological tests revealed remarkable intellectual deterioration and he required maximum support to perform activities of daily living. Higher cortical function and the ability to perform activities of daily living improved remarkably after the angioplasty. Angioplasty is an alternative therapy to reverse functional deficits in patients with cerebrovascular hemodynamic compromise.
S Maeshima; T Terada; N Yoshida; K Nakai; T Itakura; N Komai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  78     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-07-17     Completed Date:  1997-07-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  666-9     Citation Subset:  AIM; IM    
Department of Neurological Surgery, Wakayama Medical College, Japan.
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MeSH Terms
Angioplasty, Balloon*
Carotid Artery, Internal
Carotid Stenosis / complications,  therapy
Cerebral Angiography
Cerebrovascular Circulation
Dementia, Vascular / etiology,  therapy*
Endarterectomy, Carotid
Tomography, Emission-Computed, Single-Photon
Comment In:
Arch Phys Med Rehabil. 1997 Dec;78(12):1394   [PMID:  9421999 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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