PMID- 10404985
OWN - NLM
STAT- MEDLINE
DCOM- 19990811
LR  - 20190717
IS  - 0003-9942 (Print)
IS  - 0003-9942 (Linking)
VI  - 56
IP  - 7
DP  - 1999 Jul
TI  - Anatomy of sensory findings in patients with posterior cerebral artery territory 
      infarction.
PG  - 835-8
AB  - BACKGROUND: Posterior cerebral arteries (PCAs) supply the ventrolateral thalamic 
      sensory nuclei and white matter sensory tracts to the somatosensory parietal 
      cortex. Patients with PCA territory strokes often have visual, memory, cognitive, 
      and sensory signs. Clinicoanatomic correlation of visual, cognitive, and memory 
      functions are well defined but, to our knowledge, no systematic study has 
      analyzed the anatomy of sensory abnormalities. OBJECTIVE: To assess the frequency 
      and anatomic correlation of sensory symptoms and signs in patients with PCA 
      territory infarction. PATIENTS AND METHODS: Sixty patients with hemispheral and 
      hemispheral and deep PCA territory infarcts apparent on computed tomographic and 
      magnetic resonance imaging scans were studied for the presence of sensory 
      findings and location of infarcts. RESULTS: Sensory symptoms or signs were 
      present in 15 (25%) of 60 patients. Among patients with sensory findings, 11 of 
      15 had infarcts in the ventrolateral thalamus in the territory of the 
      thalamogeniculate or lateral posterior choroidal arteries. The other 4 patients 
      had no ventrolateral thalamic or white matter infarction but had severe proximal 
      vascular occlusive lesions that could have caused temporary thalamic ischemia. 
      One of these 4 patients had a medial thalamic infarct and transient hemisensory 
      symptoms. Twelve patients had thalamic infarcts and no recorded sensory findings. 
      Seven patients with thalamic infarcts (6 medial and 1 ventrolateral) had no 
      sensory findings, and sensory findings could not be accurately assessed in 4 
      patients with ventrolateral and 1 patient with medial thalamic infarcts. 
      CONCLUSIONS: All patients with PCA territory infarcts and sensory findings either 
      had thalamic infarcts in thalamogeniculate or lateral posterior choroidal artery 
      territory or had thalamic ischemia. Sensory findings in PCA territory infarction 
      indicate ventrolateral thalamic ischemia.
FAU - Georgiadis, A L
AU  - Georgiadis AL
AD  - Department of Neurology, Kiel University Hospital, Germany.
FAU - Yamamoto, Y
AU  - Yamamoto Y
FAU - Kwan, E S
AU  - Kwan ES
FAU - Pessin, M S
AU  - Pessin MS
FAU - Caplan, L R
AU  - Caplan LR
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Arch Neurol
JT  - Archives of neurology
JID - 0372436
SB  - IM
MH  - Cerebral Arterial Diseases/*complications/diagnosis
MH  - Cerebral Infarction/diagnosis/*etiology
MH  - Cognition Disorders/diagnosis/etiology
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Memory Disorders/diagnosis/etiology
MH  - Middle Aged
MH  - Parietal Lobe/*blood supply/pathology
MH  - Retrospective Studies
MH  - Somatosensory Cortex/*physiopathology
MH  - Thalamic Nuclei/*blood supply/pathology
MH  - Tomography, X-Ray Computed
MH  - Vision Disorders/diagnosis/etiology
EDAT- 1999/07/15 00:00
MHDA- 1999/07/15 00:01
CRDT- 1999/07/15 00:00
PHST- 1999/07/15 00:00 [pubmed]
PHST- 1999/07/15 00:01 [medline]
PHST- 1999/07/15 00:00 [entrez]
AID - 10.1001/archneur.56.7.835 [doi]
PST - ppublish
SO  - Arch Neurol. 1999 Jul;56(7):835-8. doi: 10.1001/archneur.56.7.835.