Lacunar Infarction Associated With Intracranial Venous Hypertension
Journal Title: Journal of Neurological Sciences-Turkish - Year 2008, Vol 25, Issue 2
Abstract
Lacunar infarcts constitute a subtype of stroke with a diameter of less than 15 mm manifested by the presence of lacunar syndromes. The ischemic lesion in lacunar infarcts may often be caused by occlusion of a single, small perforating artery. However it is known that lacunar infarcts may also be associated with large artery disease, cardioembolism, and other less frequently encountered causes including antiphospholipidic syndrome, amyloid angiopathy, infectious arteritis, and inflammatory arteritis. A lacunar infarct of venous type is unusual. A 72-year-old woman presented with left hemiparesis that developed within the last several hours. She also had mild dementia for several months. Radiological examination showed a white matter lacunar infarct evidenced by restricted diffusion and T2 abnormality and dural arteriovenous fistula of the superior sagittal sinus. Because the segment distal to the fistula was occluded the fistulous flow was drained away from the sinus via retrograde flow through the cortical veins, which leaded to intracranial venous hypertension. The findings in our patient suggest that venous causes should also be considered in the differential diagnosis of lacunar infarcts.
Authors and Affiliations
Yeliz PEKCEVIK, Suleyman MEN, Egemen IDIMAN, Kursat KUTLUK
Keywords
Related Articles
- EP ID EP91347
- DOI -
- Views 80
- Downloads 0
Faz Dönüşümlü SEP ile Santral Sulkus Lokalizasyonu
Bilimsel Zemin: Santral sulkus çevresindeki cerrahi girişimlerde; sensorimotor korteks, operasyon sırasında cerrah tarafından anatomik olarak lokalize edilmektedir. Motor defisit gelişme riski yüksek olan bu bölge cerrah...
Travmatik Posterior Fossa Epidural Hematomları ve Komplikasyonları
Giriş: Travmatik posterior fossa epidural hematomları (TPFEDH) ender görülmelerine karşın mortalite ve morbiditesi suratentoryal yerleşimli epidural hematomlardan daha yüksektir. Belirti ve bulguları silik ve belirsiz ol...
Cognitive Impairment In Relapsing Remitting Multiple Sclerosis Patients
The purpose of this study is to evaluate the cognitive functions in cases with relapsing remitting MS during the period in which the physical disability is seen in a lower level, as well as to examine the level and predo...
Ocak 1984– Aralık 2004 Tarihleri Arasında İzlenen 371 Serebral Palsili Olgunun Değerlendirilmesi
Serebral palsi, postür ya da hareketin anormal kontrolü ile karakterize nonprogresif nöropatolojik bir durumdur. Santral sinir sistemi lezyonu, zedelenmesi veya mal formasyonuna sekonder gelişir. Bu çalışmada, hastanemiz...
The Effect of Unilateral Visual Neglect on Mobility Status and Quality of Life in Stroke Patients
Aim: Unilateral Visual Neglect (UVN) in stroke patients refers not to respond or orient to a visual stimuli appearing on the side contralateral to the lesion. The purpose of this study was to explore the effect of the UV...