Beyond textbook neuroanatomy: The syndrome of malignant PCA infarction.
Br J Neurosurg
; 29(6): 871-5, 2015.
Article
em En
| MEDLINE
| ID: mdl-26337546
ABSTRACT
Given its limited vascular territory, occlusion of the posterior cerebral artery (PCA) usually does not result in malignant infarction. Challenging this concept, we present 3 cases of unilateral PCA infarction with secondary malignant progression, resulting from extension into what would classically be considered the posterior middle cerebral artery (MCA) territory. Interestingly, these were true PCA infarctions, not "MCA plus" strokes, since the underlying occlusive lesion was in the PCA. We hypothesize that congenital and/or acquired variability in the distribution and extent of territory supplied by the PCA may underlie this rare clinical entity. Patients with a PCA infarction should thus be followed closely and offered early surgical decompression in the event of malignant progression.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Artéria Cerebral Posterior
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Infarto da Artéria Cerebral Posterior
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Neuroanatomia
Tipo de estudo:
Etiology_studies
Limite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article