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Titolo:
BASILAR BRANCH DISEASE PRESENTING WITH PROGRESSIVE PURE MOTOR STROKE
Autore:
KAPS M; KLOSTERMANN W; WESSEL K; BRUCKMANN H;
Indirizzi:
UNIV LUBECK,NEUROL KLIN,DEPT NEUROL,RATZEBURGER ALLEE 160 D-23538 LUBECK GERMANY UNIV MUNICH,KLINIKUM GROSSHADERN,DEPT NEURORADIOL D-81377 MUNICH GERMANY
Titolo Testata:
Acta neurologica Scandinavica
fascicolo: 5, volume: 96, anno: 1997,
pagine: 324 - 327
SICI:
0001-6314(1997)96:5<324:BBDPWP>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
INFARCTS; OCCLUSION;
Keywords:
PURE MOTOR STROKE; PROGRESSIVE STROKE; LACUNAR STROKE; BASILAR BRANCH DISEASE; PONTINE INFARCTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
14
Recensione:
Indirizzi per estratti:
Citazione:
M. Kaps et al., "BASILAR BRANCH DISEASE PRESENTING WITH PROGRESSIVE PURE MOTOR STROKE", Acta neurologica Scandinavica, 96(5), 1997, pp. 324-327

Abstract

Objectives - Isolated infarcts of the pens cause well definable neurological syndromes with distinct pathomechanism, clinical course and prognosis. Patients and results - We report 8 cases suffering from a pure motor hemiparesis that was severely progressive within the 1st 3 days and unresponsive to aspirin. A relatively good recovery was observedin all patients, however, stroke recurrence occurred in 2 cases within 3 months and resulted in pseudobulbar paralysis and tetraparesis, MRT. displayed unilateral (n=6) and bilateral (n=2) ventromedial pontineinfarctions (VPI). Angiographic evaluation (n=4) or color Duplex examination (n=4) revealed atherosclerotic lesions but no basilar artery occlusion. Conclusion - Although VPI due to basilar branch disease may clinically mimic a classical lacunar syndrome, it is related to a particular pathogenetic mechanism different from microangiopathy or embolism, In contrast to the MRI feature of lacunes, VPI typically extend tothe basal surface of the pens. The progressive pattern, ending up in a relative uniform clinical picture, is probably caused by propagatingthrombosis.

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Documento generato il 12/07/20 alle ore 02:06:15