Presentation
Particular areas of enhanced coverage include headache, expanded beyond migraine to cover other presentations, and multiple sclerosis. [books.google.com]
A case of bilateral PCA infarct presenting with marked behavioral symptoms and minimal neurological symptoms is presented here. [ijpm.info]
[…] sign was only present in 3 of 20 (15%). [ahajournals.org]
Apraxia of ocular movements is often present with bilateral lesions. Balints syndrome Some patients with bilateral occipital or parietooccipital infarctions present with Balints syndrome. [notes.medicosnotes.com]
Respiratoric
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Hypophonia
Acute bilateral thalamic infarction as a cause of acute dementia and hypophonia after occlusion of the artery of Percheron. J Neurol Sci, 283 (2009), pp. 175-177 [4] S.E. Bain, D.T. Hsieh, L.G. Vezina, T. Chang. [elsevier.es]
Cardiovascular
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Acrocyanosis
Raynaud's syndrome) 레이노 질환(Raynaud's disease) 레이노 괴저(Raynaud's gangrene) 레이노 현상(속발성)(Raynaud's phenomenon(secondary)) I73.1 폐색성 혈전 혈관염[버거병](Thromboangiitis obliterans[Buerger]) I73.8 기타 명시된 말초 혈관 질환(Other specified peripheral vascular diseases) 말단청색증(Acrocyanosis [dic.impact.pe.kr]
Liver, Gall & Pancreas
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Asterixis
severe motor deficits (50.0%) and asterixis (50.0%). [jamanetwork.com]
Skin
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Anhidrosis
An ipsilateral Horner's syndrome (ptosis, miosis, anhidrosis) may be present. Inferior Cerebellar Infarction MRI Axial FLAIR Brain shows an infarct involving caudal portion of right cerebellar hemisphere. [neuroradiologycases.com]
Eyes
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Blurred Vision
환자 자신은 시야장애에 대해서 잘 모르거나 단지 시력이 흐리다거나(blurred vision) 안경을 껴야 한다고 느낄 수도 있음. 동반되는 증상들로는 색의 이름을 말하지 못한다든지, 물체나 사람을 인식하지 못한다든지, 잘 읽지 못한다든지 하는 것 등이 있음. 자기공명영상이나 컴퓨터 단층촬영이 주로 임상적 진단을 확인하는데 사용되고 치료는 색전이 더 이상 생기는 것을 막거나 혈전이 확대되는 것을 막는 것이 목표가 됨. [clinicclinic2.cafe24.com]
Differential diagnosis Symptoms associated with vertebral artery occlusive disease include dizziness, vertigo, diplopia, perioral numbness, blurred vision, tinnitus, ataxia, bilateral sensory deficits, and syncope, all of which can be caused by other [patient.info]
Neurologic
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Temporary Amnesia
In addition, diffusion-weighted Imaging in patients with transient global amnesia has demonstrated lesions in unilateral temporal lobes resulting in temporary amnesia. [emedicine.medscape.com]
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Macropsia
Palinopsia, micropsia, and macropsia These are illusory phenomena that are of uncertain pathophysiology. Palinopsia describes the persistence of a visual image for several seconds to days in a partially blind hemifield. [emedicine.medscape.com]
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Micropsia
Palinopsia, micropsia, and macropsia These are illusory phenomena that are of uncertain pathophysiology. Palinopsia describes the persistence of a visual image for several seconds to days in a partially blind hemifield. [emedicine.medscape.com]
Workup
Extensive cardiac workups, including Holter monitoring, and transthoracic and transesophageal echocardiography, did not reveal any intracardiac embolic source. [j-stroke.org]
Hypercoagulable disease workup If the stroke mechanism is not evident from the medical history and routine workup, then special hematologic and serologic examinations should be considered, particularly in young patients with cryptogenic stroke. [emedicine.medscape.com]
Additional tests can be ordered such as ANA with titers, ESR, CRP, ANCA for vasculitis, hypercoagulable panel for coagulopathy, and genetics tests for an unknown cause of stroke after the first workup. [ncbi.nlm.nih.gov]
Treatment
Retaining an emphasis on the core clinical skills of history taking and careful neurological examination, the new edition has been thoroughly revised and updated to take into account new developments in investigation and treatment. [books.google.com]
Endovascular treatment has been utilized as a modality of treatment of this rare entity [3]. But the proper choice of the treatment and the long term results are yet to be clear. [austinpublishinggroup.com]
The surgical treatment of PCA aneurysm is difficult. [karger.com]
At this stage, thrombolytic therapy is not effective.12,13 In our cases, intravenous treatment was contraindicated. [elsevier.es]
Prognosis
In addition, this study reveals a good 6-month prognosis for ICCI and some factors affecting prognosis, including multiple cerebrovascular stenosis, diffusive or large infraction, and diabetes. [hindawi.com]
Rothrock J, North J, Madden K, Lyden P, Fleck P, Dittrich H: Migraine and migrainous stroke: Risk factors and prognosis. Neurology 1993;43:2473–2476. Zülch KJ: Über die Entstehung und Lokalisation der Hirninfarkte. [karger.com]
Although no statistical significance was reached, we observed an important trend toward poor prognosis in the group of patients that had pupillary changes (p 0.09). [scielo.br]
Keywords: Stent-assisted coil embolization; Hemorrhagic P1 dissection; Posterior cerebral artery Introduction Hemorrhagic dissecting aneurysms of cerebral artery tend to rebleed and the prognosis after rebleeding is poor. [austinpublishinggroup.com]
Etiology
Manifestation code identifies conditions for which it is important to record both the etiology and the symptom of the disease. [books.google.com]
The aim of the study is to evaluate the clinical features, etiology, and 6-month prognosis of ICCI. [hindawi.com]
ICD-10-CM Codes › I00-I99 Diseases of the circulatory system › I60-I69 Cerebrovascular diseases › Use Additional Use Additional Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology [icd10data.com]
The presumed etiologies are presented in Figure 1. The main cause of all PCA strokes was cardioembolism (39.4%), followed by undetermined (26.9%), lacunar (19.4%), and atherothrombotic (13.5%) etiologies. [jamanetwork.com]
Epidemiology
Epidemiological data refers to the US, unless otherwise specified. [amboss.com]
Epidemiology/Etiology According to the World Health Organization (WHO), 15 million people suffer stroke worldwide each year. [physio-pedia.com]
Epidemiology A relatively uncommon form of stroke. However: Stroke is the fourth[2]biggest cause of death in the UK. 25% of lesions causing stroke occur in the vertebrobasilar circulation[1]. [patient.info]
Third, CTA is reported to overestimate vascular stenosis compared with digital subtraction angiography; therefore, the epidemiological results of cerebrovascular changes should be treated with caution. 5 Conclusions Ipsilateral MCA, carotid artery, and [journals.lww.com]
The exact epidemiology of ICCI is unknown, but Li et al. [5] reported 59 patients (3.6%) with CC involvement, including seven cases of ICCI (0.4%), among 1629 patients with cerebral infarction. [hindawi.com]
Pathophysiology
(eds) Mohr JP, Choi DW, Grotta JC, et al: Stroke: Pathophysiology, Diagnosis and Managemen 4 Philadelphia, Churchill Livingstone, 2004;167-192 Caplan LR, Bogousslavsky J: Posterior cerebral artery syndromes. [karger.com]
In Barnett HJM at al (eds) Stroke Pathophysiology, Diagnosis, and Management New York Churchill Livingstone 1992 125]. The posterior arteries supply the temporal and occipital lobes of the left cerebral hemisphere and the right hemisphere. [strokecenter.org]
Palinopsia, micropsia, and macropsia These are illusory phenomena that are of uncertain pathophysiology. Palinopsia describes the persistence of a visual image for several seconds to days in a partially blind hemifield. [emedicine.medscape.com]
[…] deterioration that may lead to death.5,7–9 From a pathophysiological viewpoint, severe decreases in cerebral blood flow to the ischaemic territory compromise normal functioning of the Na -K -ATPase pump in cell membranes, leading to the intracellular [elsevier.es]
Prevention
See also the separate Stroke Prevention article. [patient.info]
Examination of the presence of permanent fetal anastomoses by the preoperative use of noninvasive imaging modalities such as MR angiography or CT angiography may help prevent unexpected results. [hindawi.com]
Although we were confident with the patency of our bypass intraoperatively (and immediate postoperative angiography confirmed this), nevertheless we were thwarted in our goal of preventing a stroke. [asianjns.org]
In ischemic strokes, immediate revascularization of the affected vessel is vital to preserve brain tissue and prevent further damage. Hemorrhagic strokes are treated with supportive measures and neurosurgical evacuation of blood. [amboss.com]
This collateral circulation varies in degree in different individuals and is often not sufficient enough to prevent infarction though it may help in limiting its size. [4],[5],[6] We hereby present a patient who was incidentally found to have the complete [neurologyindia.com]