Spectrum of anterior cerebral artery territory infarction: clinical and MRI findings

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dc.contributor.authorKumral, E
dc.contributor.authorBayulkem, G
dc.contributor.authorEvyapan, D
dc.contributor.authorYunten, N
dc.date.accessioned2019-10-27T18:42:53Z
dc.date.available2019-10-27T18:42:53Z
dc.date.issued2002
dc.departmentEge Üniversitesien_US
dc.description.abstractTo evaluate and review the clinical spectrum of anterior cerebral artery (ACA) territory infarction, we studied 48 consecutive patients who admitted to our stroke unit over a 6-year period. We performed magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) in all patients, and diffusion magnetic resonance imaging (DWI) in 21. In our stroke registry, patients with ACA infarction represented 1.3% of 3705 patients with ischemic stroke. The main risk factors of ACA infarcts was hypertension in 58% of patients, diabetes mellitus in 29%, hypercholesterolemia in 25%, cigarette smoking in 19%, atrial fibrillation in 19%, and myocardial infarct in 6%. Presumed causes of ACA infarct were large-artery disease and cardioembolism in 13 patients each, small-artery disease ( SAD) in the territory of Heubner's artery in two and atherosclerosis of large-arteries (< 50% stenosis) in 16. On clinico-radiologic analysis there were three main clinical patterns depending on lesion side; left-side infarction ( 30 patients) consisting of mutism, transcortical motor aphasia, and hemiparesis with lower limb predominance; right side infarction ( 16 patients) accompanied by acute confusional state, motor hemineglect and hemiparesis; bilateral infarction ( two patients) presented with akinetic mutism, severe sphincter dysfunction, and dependent functional outcome. Our findings suggest that clinical and etiologic spectrum of ACA infarction may present similar features as that of middle cerebral artery infarction, but frontal dysfunctions and callosal syndromes can help to make a clinical differential diagnosis. Moreover, at the early phase of stroke, DWI is useful imaging method to locate and delineate the boundary of lesion in the territory of ACA.en_US
dc.identifier.doi10.1046/j.1468-1331.2002.00452.xen_US
dc.identifier.endpage624en_US
dc.identifier.issn1351-5101
dc.identifier.issue6en_US
dc.identifier.pmid12453077en_US
dc.identifier.startpage615en_US
dc.identifier.urihttps://doi.org/10.1046/j.1468-1331.2002.00452.x
dc.identifier.urihttps://hdl.handle.net/11454/37165
dc.identifier.volume9en_US
dc.identifier.wosWOS:000179547400010en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBlackwell Publishing Ltden_US
dc.relation.ispartofEuropean Journal of Neurologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectanterior cerebral arteryen_US
dc.subjectmagnetic resonance angiographyen_US
dc.subjectmagnetic resonance imagingen_US
dc.subjectstrokeen_US
dc.titleSpectrum of anterior cerebral artery territory infarction: clinical and MRI findingsen_US
dc.typeArticleen_US

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