A CASE OF TOPOGRAPHICAL DISORIENTATION ASSOCIATED WITH A UNILATERAL CEREBRAL LESION

Brain ◽  
1945 ◽  
Vol 68 (3) ◽  
pp. 188-212 ◽  
Author(s):  
ANDREW PATERSON ◽  
O. L. ZANCWILL
Keyword(s):  
Cerebral Lesion ◽  
Topographical Disorientation ◽  
Unilateral Cerebral Lesion

scholarly journals Neurootological examination in patients with unilateral cerebral lesion.

1990 ◽  
Vol 49 (2) ◽  
pp. 271-275
Author(s):  
Kanji Baba ◽  
Yuki Handa ◽  
Tetsuzo Inoue
Keyword(s):  
Cerebral Lesion ◽  
Unilateral Cerebral Lesion

The Influence of Sex and Age on Unilateral Cerebral Lesion Sequelae

1984 ◽  
Vol 24 (3-4) ◽  
pp. 299-301 ◽  
Author(s):  
Ronald A. Yeo ◽  
Eric Turkheimer ◽  
Erin D. Bigler
Keyword(s):  
Cerebral Lesion ◽  
Unilateral Cerebral Lesion

Cerebral Lesion Topography in Spasticity following ischemic Stroke

2010 ◽  
Vol 41 (01) ◽  
Author(s):  
P Urban ◽  
T Wolf ◽  
M Uebele ◽  
J Marx ◽  
P Stoeter ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Cerebral Lesion ◽  
Lesion Topography

Vergleich von Blutfluß und Benzodiazepin-Rezeptorverteilung bei fokaler Epilepsie: Vorläufige Ergebnisse einer SPECT-Studie

1989 ◽  
Vol 28 (05) ◽  
pp. 181-186
Author(s):  
A. Ludolph ◽  
O. Schober ◽  
G. Lottes ◽  
I. Böttger ◽  
H.-F. Beer ◽  
...  
Keyword(s):  
Human Brain ◽  
Receptor Binding ◽  
Brain Area ◽  
Brain Perfusion ◽  
Partial Epilepsy ◽  
Cerebral Lesion ◽  
Receptor Ligand ◽  
Receptor Mapping ◽  
Hmpao Spect ◽  
99Mtc Hmpao

99mTc-HMPAO-SPECT and SPECT with the 123I-labelled benzodiazepine (Bz) receptor ligand Ro 16-0154 were performed in 10 patients suffering from partial epilepsy, without cerebral lesion in MRT or CT. 2 h p.i. of Ro 16-0154 the distribution of activity correlated with the known distribution of Bz- receptors in the human brain. Perfusion and receptor-binding were found decreased in 7 patients of each study in the suspicious brain-area. 123l-labelled Ro 16-0154 is suitable for Bz-receptor mapping by SPECT. The decrease of Bz-receptor binding in epileptic foci, as described in PET-studies, was also detected by SPECT in 7 of 10 patients.

scholarly journals The anesthetic approach for endovascular recanalization therapy depends on the lesion site in acute ischemic stroke

2021 ◽  
Author(s):  
Kilian Fröhlich ◽  
Gabriela Siedler ◽  
Svenja Stoll ◽  
Kosmas Macha ◽  
Thomas M. Kinfe ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Middle Cerebral Artery ◽  
Acute Ischemic Stroke ◽  
Cerebral Artery ◽  
Posterior Circulation ◽  
Neurological Deficits ◽  
Stroke Severity ◽  
Lesion Volume ◽  
Middle Cerebral Artery Territory ◽  
Cerebral Lesion

Abstract Purpose Endovascular therapy (EVT) of large-vessel occlusion in acute ischemic stroke (AIS) may be performed in general anesthesia (GA) or conscious sedation (CS). We intended to determine the contribution of ischemic cerebral lesion sites on the physician’s decision between GA and CS using voxel-based lesion symptom mapping (VLSM). Methods In a prospective local database, we sought patients with documented AIS and EVT. Age, stroke severity, lesion volume, vigilance, and aphasia scores were compared between EVT patients with GA and CS. The ischemic lesions were analyzed on CT or MRI scans and transformed into stereotaxic space. We determined the lesion overlap and assessed whether GA or CS is associated with specific cerebral lesion sites using the voxel-wise Liebermeister test. Results One hundred seventy-nine patients with AIS and EVT were included in the analysis. The VLSM analysis yielded associations between GA and ischemic lesions in the left hemispheric middle cerebral artery territory and posterior circulation areas. Stroke severity and lesion volume were significantly higher in the GA group. The prevalence of aphasia and aphasia severity was significantly higher and parameters of vigilance lower in the GA group. Conclusions The VLSM analysis showed associations between GA and ischemic lesions in the left hemispheric middle cerebral artery territory and posterior circulation areas including the thalamus that are known to cause neurologic deficits, such as aphasia or compromised vigilance, in AIS-patients with EVT. Our data suggest that higher disability, clinical impairment due to neurological deficits like aphasia, or reduced alertness of affected patients may influence the physician’s decision on using GA in EVT.

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