Document Detail

Embolism from vertebral artery origin occlusive disease.
MedLine Citation:
PMID:  1641144     Owner:  NLM     Status:  MEDLINE    
We report 10 patients with severe occlusive disease of the vertebral artery (VA) origin in the neck with intra-arterial embolism to the posterior circulation. The VA lesions in seven patients were complete occlusions, and three patients had severe atherostenosis. All patients had strokes in the vertebrobasilar territory. The most frequent recipient sites of intra-arterial embolism were the intracranial VA-posterior inferior cerebellar artery region (8), and the distal basilar artery (BA) and its superior cerebellar and posterior cerebral artery branches (7). Two patients had pontine infarction due to BA embolism. The most common clinical signs were due to cerebellar infarction. Atherosclerotic disease of the VA origin has features in common with disease of the internal carotid artery origin. Both have similar risk factors and demography, and each can cause strokes by intracranial intra-arterial embolism.
L R Caplan; P Amarenco; A Rosengart; E F Lafranchise; P A Teal; M Belkin; L D DeWitt; M S Pessin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurology     Volume:  42     ISSN:  0028-3878     ISO Abbreviation:  Neurology     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1992-09-03     Completed Date:  1992-09-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1505-12     Citation Subset:  AIM; IM    
Department of Neurology, New England Medical Center, Boston, MA 02111.
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MeSH Terms
Arterial Occlusive Diseases / complications*,  radiography,  ultrasonography
Cerebral Angiography
Cerebral Infarction / diagnosis
Intracranial Embolism and Thrombosis / etiology*
Magnetic Resonance Imaging
Middle Aged
Vertebral Artery* / radiography

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