A study on 60 patients with the cerebral lacunar infarction, ages of 20-85 and 60 patients with cerebral infarction (control), ages of 20 -87 has shown that the syndromes of cerebral lacunar infarction comprised hemiplegia type of merely moving, speaking disorder hemiplegia type of combination of sense and moving, merely sense accident and other lacunar syndromes. The risk factors of diseases were hypertension, diabetes and smoking.
Cerebral Infarction ; Brain Infarction ; diagnosis

At the Department of Neurology, Bach Mai Hospital, 11 cases of cerebral infarction were studied in the first 6 months of the year 2002. All 11 patients underwent CT scanning, blood examination, EEG, X-ray examination of heart and lung. Results showed that cerebral infarction can be diagnosed definitely, especially it can be differentiated with cerebral haemorrhage, etc … to develop a possibility of intensive and effective management of cerebral infarction. CT radiography permits an efficacy monitoring of the treatment processus
Cerebral Infarction ; Brain Infarction ; Brain Diseases

No abstract available.
Brain Infarction* ; Brain* ; Nephrotic Syndrome*

Report one case of a 52 years old male patient who lived in Vinh Long province, admitted at January 27th 2005. Patient was treated first aid at Vinh Long Hospital, and then he was operated at the Department of Neurosurgery of People’s Hospital No 115. CT scan found large supratentorial infarction accounted for 3/4 of right hemisphere area that adequate with the supplying blood area of media cerebral artery, and imagine of temporal lobe herniation , subfalcial herniation. Patient was intensively treated by anti-cerebral edema and was conducted hematological tests. Then he was indicated decompressive surgery. Results of CT scan after 24 hours after operation showed that the middle line was regained more, brain delivered cerebral notch. One week after operation, patient was conscious, GCS=15, left hemiplegia, muscle power=2/5. Patient discharged after 10 days with GOS=4, and was intended treating by auto-grafting after 3 months
Brain Infarction ; Surgery ; Therapeutics

60 subjects with brain lacunar infarction and 60 with other brain (no lacunar) infarction aged 20-67 were investigated in Bach Mai Hospital from Jan 2001 to Jun 2002. The proportion of brain lacunar infarction vs other brain infarction was 38% in the same duration. 5 main syndromes of lacunar infarction were 98%, other syndromes 2%. There is no difference in age and gender of both groups. Risk of complications of brain lacunar infarction raised by 8,9 times in comparing with high blood pressure, 6,5 times with smoking, 2,3 times with diabetes
Cerebral Infarction ; Brain Infarction ; Brain ; diagnosis ; risk factors

No abstract available.
Basilar Artery ; Brain Injuries ; Infarction

STUDY DESIGN: A case of brain infarction due to occlusion of vertebral artery after cervical spine fracture is reported. OBJECTIVES: Documentation of possibility and clinical significances of brain infarction as one of grave complications after cervical spine injury. SUMMARY OF LITERATURE REVIEW: Occlusion of vertebral artery and consequent brain infarction can be associated with cervical spine injuries because vertebral arteries course through the transverse foramina from sixth to second corvical vertebrae. Infarction of vertebrobasilar system may cause impairment of cerebral, cerebellar, or brain stem function and can occasionally bring grave functional loss, even death. MATERIALS AND METHODS: A case of occlusion of vertebral artery and consequent cerebral infarction after cervical spine fracture in a 66 year-old man. Brain CT and angiogram were performed. He was managed with anticoagulants. RESULTS: Neurologic deficits from brain infarction disappeared after 2 weeks. CONCLUSIONS: Attention to the possibility of these complications and awareness of their clinical features seem to be mandatory in managing cervical spine injury patients.
Aged ; Anticoagulants ; Brain ; Brain Infarction ; Brain Stem ; Cerebral Infarction* ; Humans ; Infarction ; Neurologic Manifestations ; Spine* ; Vertebral Artery*

Brain abscess following ischemic stroke is a very rare and dangerous condition that can have catastrophic results, and thus requires urgent and comprehensive evaluation. We report a case of a patient with brain abscess that developed at the lesion site of a previous cerebral infarction. The disruption of the blood-brain barrier in the infarcted lesion might facilitate abscess formation, making it a preferred target for infectious agents.
Abscess ; Blood-Brain Barrier ; Brain ; Brain Abscess ; Brain Infarction ; Cerebral Infarction ; Humans ; Stroke

No abstract available.
Brain ; Brain Stem ; Brain Stem Infarctions ; Cerebellar Ataxia ; Cerebral Infarction

PURPOSE: To re-evaluate additional clinical significance of the apparent diffusion coefficient (ADC) map in the inference of infarction stage, authors studied the evolution patterns of the DWI and the ADC map of the brain infarction. MATERIALS AND METHODS: In 127 patients with cerebral infarctions, including follow-up checks, 199 studies were performed. They were classified as hourly (117 studies)-, daily (108 studies)-, weekly (62 studies)-based groups. The signal intensity (SI) was measured at the core of the infarction and contralateral area with ROI of 0.3 cm2 or more on the images of the DWI and the ADC map, and calculated the ratios of SI and ADC value of the infarction area / contralateral normal area, and compared the patterns of the change according to the evolution. RESULTS: Infarction was detected as early as 1 hour after the attack, and the ratio of SI in the DWI became over than 2 after 12 hours, which showed a plateau until the 6th day. Thereafter, it decreased slowly to 1 on the 30th day, and changed to lower SI than the surrounding brain. The ratio in the ADC map became 0.46 in 24 hours after the attack, and increased slowly to 1 in the 15th day. Thereafter, it became a higher value than the surrounding brain. Overall, the ratio in the ADC map changed earlier than in the DWI, and the ratio curves showed inverse pattern each other according to the evolution of the infarction. CONCLUSION: The evolution patterns of infarction on the ADC map showed an inverse curve of DWI curve, which means that the ADC value is accurately predictable from DWI, and the ADC map joined with the DWI seems helpful in the determination of subacute infarction between 15 to 30 days.
Brain Infarction* ; Brain* ; Cerebral Infarction ; Diffusion ; Follow-Up Studies ; Humans ; Infarction