Document Detail


Proximal posterior cerebral artery occlusion simulating middle cerebral artery occlusion.
MedLine Citation:
PMID:  2006006     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe 12 cases of acute stroke in which clinical features of proximal posterior cerebral artery occlusion simulated the clinical syndrome of middle cerebral artery occlusion. The majority of patients developed contralateral hemiparesis, homonymous hemianopia, hemispatial neglect, and sensory loss or sensory inattention. All 8 patients with dominant hemisphere lesions were aphasic. Accurate diagnosis in each case was achieved only after a head CT, showing occipital lobe, thalamic, and inferomesial temporal lobe infarction. "Cortical" signs are probably explained by thalamic involvement. Recognition of this syndrome has implications for management and prognosis.
Authors:
B R Chambers; R J Brooder; G A Donnan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurology     Volume:  41     ISSN:  0028-3878     ISO Abbreviation:  Neurology     Publication Date:  1991 Mar 
Date Detail:
Created Date:  1991-04-25     Completed Date:  1991-04-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  385-90     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurology, Repatriation General Hospital, Heidelberg West, Victoria, Australia.
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MeSH Terms
Descriptor/Qualifier:
Aged
Arterial Occlusive Diseases / complications,  pathology,  radiography*
Cerebral Angiography
Cerebral Arteries* / pathology
Cerebrovascular Disorders / etiology,  radiography
Diagnosis, Differential
Female
Humans
Male
Tomography, X-Ray Computed

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