Infarcts in the territory of the deep perforators from the carotid system

Details

Serval ID
serval:BIB_CF1A0CD11C1E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Infarcts in the territory of the deep perforators from the carotid system
Journal
Neurology
Author(s)
Ghika  J., Bogousslavsky  J., Regli  F.
ISSN
0028-3878 (Print)
Publication state
Published
Issued date
04/1989
Volume
39
Number
4
Pages
507-12
Notes
Journal Article --- Old month value: Apr
Abstract
We studied risk factors and presumed causes of infarct in 100 consecutive patients with a first stroke, who had an appropriate CT-proven infarct in the territory of the deep perforators from the carotid system (ITDPCS). The infarct involved the territory of the lenticulostriate arteries in 65 cases, the anterior choroidal artery in 23 cases, watershed zones between these two territories in four cases, and another territory in eight cases. In 42% of the patients, we felt the cause of the infarct to be small-artery disease. In 36%, at least one source of embolism was present (in 27% from the internal carotid artery, in 17% from the heart), either with (25%) or without (10%) associated hypertension (HT) and diabetes mellitus (DM). Other possible less common etiologies included migraine, syphilitic angiitis, and systemic diseases. We have confirmed that HT or DM are the most common etiologic factors of ITDPCS. However, large-artery disease and cardioembolism may be more important than previously assumed.
Keywords
Adult Aged Carotid Artery, Internal/*physiopathology Cerebrovascular Disorders/etiology/*physiopathology Female Humans Hypertension/complications Infarction/classification/*etiology/physiopathology Male Middle Aged Risk Factors Syndrome
Pubmed
Web of science
Create date
25/01/2008 11:45
Last modification date
20/08/2019 15:49
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