Two cases of anterior choroidal artery territory infarction.
10.3349/ymj.1989.30.3.310
- Author:
Sung Hee HWANG
1
;
Kyung HUH
;
Seung Min KIM
;
Jin Soo KIM
;
Jung Ho SUH
Author Information
1. Department of Neurology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Anterior choroidal artery;
hemiparesis;
hemianesthesia;
hemianopia;
cortical function
- MeSH:
Aged;
Carotid Artery, Internal/radiography;
Case Report;
Cerebral Angiography;
Cerebral Infarction/*radiography;
Choroid Plexus/blood supply;
Female;
Human;
Male;
Middle Age;
*Tomography, X-Ray Computed
- From:Yonsei Medical Journal
1989;30(3):310-314
- CountryRepublic of Korea
- Language:English
-
Abstract:
Occlusion of the anterior choroidal artery (AChA) can cause infarction in the posterior limb of the internal capsule. Infarction is less frequently observed in the thalamus, midbrain, temporal lobe, and lateral geniculate body (LGB) territories of the AChA. The most common clinical finding is hemiparesis. Hemianesthesia may be severe at onset but is usually transient. Homonymous hemianopia, upper-quadrant anopia, or upper- and lower-quadrant sector anopia can be present. Occasionally these patients are reported to have transient abnormalities of higher cortical function. The most common stroke mechanism is known to be small-vessel occlusive disease, predominantly found in hypertensive and diabetic patients. Vasospasm due to ruptured aneurysm or intraoperative mechanical manipulation, and cardiac origin the AChA territory. The infarct lesion is usually recognized and diagnosed by computed tomography. The best treatment is still unknown.
