Document Detail


Progressive lacunar infarction with demonstrated patency of the middle cerebral artery.
MedLine Citation:
PMID:  3764948     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two cases of progressive hemiplegia were closely followed by daily clinical examination. In both, the CT scan and CSF were normal on admission. In both, objective aggravation occurred in three or more steps over four days, progressing from minor finger clumsiness to total paralysis of the arm. In both cases a second CT scan a day after appearance of hemiplegia demonstrated a lacune in the corona radiata just above the internal capsule. In one case an intravenous digital subtraction angiogram demonstrated patency of the middle cerebral artery during the course of the progression. In the other case, serial study with transcranial Doppler ultrasound documented the continued patency of the middle cerebral artery. These two cases demonstrate that it is not necessary to postulate transient occlusion of the middle cerebral artery as an essential mechanism for progressive lacunar infarction.
Authors:
J H Halsey
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  17     ISSN:  0039-2499     ISO Abbreviation:  Stroke     Publication Date:    1986 Sep-Oct
Date Detail:
Created Date:  1986-11-19     Completed Date:  1986-11-19     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1028-30     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Cerebral Arteries / pathology*
Female
Hemiplegia / etiology
Humans
Ischemic Attack, Transient / complications,  pathology*
Male
Tomography, X-Ray Computed
Ultrasonics
Grant Support
ID/Acronym/Agency:
AG05014/AG/NIA NIH HHS; NS088802/NS/NINDS NIH HHS

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


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