Perisulcal infarcts: lesions caused by hypotension during increased intracranial pressure.

Details

Serval ID
serval:BIB_B2C6808C9C2D
Type
Article: article from journal or magazin.
Collection
Publications
Title
Perisulcal infarcts: lesions caused by hypotension during increased intracranial pressure.
Journal
Annals of Neurology
Author(s)
Janzer R.C., Friede R.L.
ISSN
0364-5134[print], 0364-5134[linking]
Publication state
Published
Issued date
1979
Volume
6
Number
5
Pages
399-404
Language
english
Abstract
A pattern of cortical necrosis surrounding the cerebral sulci and similar to ulegyria was found in 5 patients. The lesions were widely disseminated in all parts of the hemispheric cortex, affecting mostly the deep cortex of several adjacent sulci. They were hemorrhagic in 3 patients, ischemic in the others. Each patient had suffered a severe brain injury and became comatose thereafter. Increased intracranial pressure was evident from clinical findings, necropsy changes, or both. While in coma, each patient had at lease one episode of hypotension. The data suggest that perisulcal infarcts are a manifestation of diminished vascular perfusion during a period of increased intracranial pressure.
Keywords
Adult, Aged, Brain Injuries/complications, Cerebral Cortex/blood supply, Cerebral Cortex/pathology, Cerebral Infarction/etiology, Cerebral Infarction/pathology, Child, Female, Humans, Hypotension/complications, Intracranial Pressure, Male, Middle Aged, Skull/injuries
Pubmed
Create date
21/10/2010 8:43
Last modification date
20/08/2019 15:21
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