Left Unilateral Ideomotor Apraxia in Ischemic Stroke within the Territory of the Anterior Cerebral Artery

1992 ◽  
Vol 2 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Seiji Kazui ◽  
Tohru Sawada ◽  
Hiroaki Naritomi ◽  
Yoshihiro Kuriyama ◽  
Takenori Yamaguchi
Keyword(s):  
Ischemic Stroke ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Ideomotor Apraxia

scholarly journals Bilateral cerebral infarction associated with severe arteriosclerosis in the A1 segment: a case report

2019 ◽  
Vol 47 (3) ◽  
pp. 1373-1377
Author(s):  
Jing Lin ◽  
Wenbiao Xian ◽  
Rong Lai ◽  
Jiaoxing Li ◽  
Yufang Wang ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Cerebral Infarction ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Anterior Communicating Artery ◽  
Left Middle Cerebral Artery ◽  
Large Artery ◽  
Anterior Circulation ◽  
The Right ◽  
Left Middle

Large artery atherosclerosis and cardioembolism are the two major subtypes of ischemic stroke. We herein describe a 75-year-old man with acute complete cerebral infarction in the typical territories of the bilateral anterior cerebral artery (ACA) and left middle cerebral artery. Brain magnetic resonance angiography showed that the right A1 segment of the ACA was affected by severe arteriosclerosis and that the right ACA other than the A1 segment was compensated by the left ACA through the anterior communicating artery. Acute cardioembolism only occluded the left anterior circulation but simultaneously blocked the right ACA due to decompensation. We presume that the bilateral cerebral infarctions were caused by chronic atherosclerosis and acute cardioembolism.

scholarly journals Clinical and neuroimaging analysis of carotid infarction in the acute ischemic stroke

2021 ◽  
Vol 17 (5) ◽  
pp. 36-46
Author(s):  
M.M. Prokopiv
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Cerebral Arteries ◽  
Clinical Manifestations ◽  
Short Term ◽  
Middle Cerebral Arteries ◽  
Proximal Anterior Cerebral Artery ◽  
The Brain

Background. The assessment of clinical manifestations in patients with acute pre-circular infarction is important for verification of the lesion, the choice of the treatment program, prediction of the stroke consequences. The purpose is to investigate the clinical, neurological, and neuroimaging features of lacunar and non-lacunar carotid infarctions in acute ischemic stroke and to assess their short-term consequences. Materials and methods. There was performed a clinical and radiological analysis of carotid infarction in 540 patients with acute ischemic stroke, which were divided into two groups: 155 patients were verified for infarcts in the cortex and white matter of the brain in the vasculature of the anterior and middle cerebral artery; in 385 patients, infarct foci were found in the area of the deep hemispheres of the brain (subcortical-capsular infarcts). Results. Clinical neuroimaging analysis of patients with ischemic stroke in the vasculature of the cortical branches of the anterior and middle cerebral arteries of the anterior circulatory basin showed that acute cerebral circulatory disorders caused the development of small cortical infarctions in 89 (57.4 %) patients and 65 (41 %) — lacunar infarction, in one patient (0.7 %) with occlusion of the proximal anterior cerebral artery — total infarction. The neurological clinical picture of infarcts of varying localization, which was determined by the location and size of the lesion, was described. Conclusions. The obtained results showed that the consequences of anterior circular infarctions depended on the localization of the lesion of the arterial area, the caliber of the infarction of the dependent artery, the size of the infarct locus. For the most part, these factors determined the background severity of neurological deficit after the development of acute ischemic stroke.

scholarly journals Ischemic stroke in azygos anterior cerebral artery: a case report

2021 ◽  
Author(s):  
Pedro Henrique Souza Reis ◽  
Mozart Guanaes Gomes Neto ◽  
Mauro Eduardo Jurno ◽  
Renata Souza dos Santos
Keyword(s):  
Traumatic Brain Injury ◽  
Ischemic Stroke ◽  
Case Report ◽  
Brain Injury ◽  
Rare Variant ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Common Trunk ◽  
Anatomical Variant ◽  
Level Of Consciousness

Context: The azygos anterior cerebral artery (azygos-ACA) is a rare variant that involves a common trunk in segment A2 (above the anterior communicating artery). Its prevalence is 0.3–2%. Case report: Male patient, 59 years old, diabetic, smoker, with congenital heart disease (long congenital QT) was admitted to the hospital on 01/07/2020 with traumatic brain injury followed by a seizure crisis (1st episode). Upon admission, he had Glasgow 13 and a cranial tomography showing small left frontal hemorrhage, then conservative treatment with phenytoin 100mg every 8 hours was initiated. The following day, there was a decrease in the level of consciousness (Glasgow 7), with orotracheal intubation being performed and a new skull tomography was performed revealing a slightly enlarged left frontal contusion area, right subdural hematoma, bifrontal hypodensity and left caudate nucleus. Mannitol (100ml / 6h) was indicated and phenytoin (100mg/ 8h) was maintained. On 16/07/2020, the cranial angiotomography showed hypoflow of the anterior cerebral artery and an anatomical variant showing that such artery emerged from a single trunk. The next day, he was still intubated, with Glasgow 6 and no interaction with an examiner. Conclusions: It is concluded that the patient had a bifrontal ischemic stroke (evidenced by the 2nd tomography) and this, occurred due to an obstruction of the azygos-ACA (rare variant), explaining its bilaterality. This situation led to traumatic brain injury, syncope and a severe decrease in the level of consciousness. Given the possible repercussions, the anatomical recognition of this variant becomes important.

scholarly journals Unique Presentation of Akinetic Mutism and Coexisting Thyroid Storm Relating to Stroke

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Mohankumar Kurukumbi ◽  
Thao Dang ◽  
Najeeb Crossley ◽  
Alice Esame ◽  
Annapurni Jayam-Trouth
Keyword(s):  
Ischemic Stroke ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Case Reports ◽  
Anterior Cingulate ◽  
Akinetic Mutism ◽  
Thyroid Storm ◽  
African American Female ◽  
Subcortical Structures ◽  
Clinical Presentations

Akinetic mutism is described in various clinical presentations but typically is defined as a state wherein the patient appears awake but does not move or speak. It can be divided into two different subtypes; the most common subtypes depend on the lesion location, mesencephalic-diencephalic region, also called apathetic akinetic mutism (somnolent mutism), and those involving the anterior cingulate gyrus and adjacent frontal lobes called hyperpathic akinetic mutism. The pathway of akinetic mutism is believed to originate from circuits that link the frontal and subcortical structures. This case reports a 48-year-old African American female with bilateral anterior cerebral artery stroke and akinetic mutism with coexisting thyroid storm. This patient with bilateral anterior cerebral artery infarcts presented with characteristics that are typical for akinetic mutism such as having intact eye movements but an inability to respond to auditory or visual commands. With the incidence of bilateral anterior cerebral artery (ACA) ischemic stroke being rare and the incidence of akinetic mutism secondary to ischemic stroke even rarer, we suspect that this patient potentially had a unilateral occlusion of anomalous anterior cerebral vasculature.

scholarly journals Anterior Cerebral Artery Emboli in Combined Intravenous and Intra-arterial rtPA Treatment of Acute Ischemic Stroke in the IMS I and II Trials

2007 ◽  
Vol 28 (10) ◽  
pp. 1890-1894 ◽  
Author(s):  
S. King ◽  
P. Khatri ◽  
J. Carrozella ◽  
J. Spilker ◽  
J. Broderick ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery

scholarly journals Total cholesterol affects the outcome in anterior cerebral artery-occluded acute ischemic stroke patients treated with thrombolysis

2019 ◽  
Author(s):  
Lei Niu ◽  
Shaowei Jiang ◽  
Yang Wang ◽  
Ya Peng ◽  
Aihua Fei ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Total Cholesterol ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Disease Onset ◽  
Plasma Lipid ◽  
Lipid Profiles ◽  
Symptom Improvement ◽  
Exact Test

Abstract Object In this study, we investigated whether certain types of lipid profiles are major contributors to disease outcomes. Methods At two stroke medical centers, among 13,285 hospitalized patients treated with thrombolysis, thrombectomy, or conventional care, two hundred and seventy-six anterior cerebral artery-occluded acute ischemic stroke (AIS) patients were screened. We examined the plasma lipid profiles by using the cutoff values from a receiver operating characteristic (ROC) curve. A multivariate logistic regression or Fisher’s exact test was used to compare the outcome and risk events. The modified Rankin scale (mRS) score was used to assess the major clinical outcome of the patients 3 months after disease onset. Mortality and symptomatic intracranial hemorrhage (sICH) were both evaluated as risk factors. The disease outcome was examined by analyzing symptom improvement at discharge. Results In the anterior cerebral artery-occluded AIS (NIHSS ≥ 10) patients treated by intravenous (IV) thrombolysis, a total cholesterol (TC) level greater than 5.07 mmol/L predicted a poor outcome (OR 3.55, 95% CI 1.21,10.46, p = 0.021). Conclusion In anterior cerebral artery-occluded AIS patients, the TC level is a highly promising screening factor for predicting the outcome of IV thrombolysis.

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