CLINICAL MANIFESTATION OF SUPRATENTORIAL BRANE INFARCT COMPARED TO INFARCT ZONE LOCALIZATION

S. Filipović ,
S. Filipović

Neurology and Psychiatry Clinic, Medical faculty Priština , Kosovska Mitrovica , Kosovo*

V. Mitrović ,
V. Mitrović

Neurology and Psychiatry Clinic, Medical faculty Priština , Kosovska Mitrovica , Kosovo*

N. Petrović ,
N. Petrović

Neurology and Psychiatry Clinic, Medical faculty Priština , Kosovska Mitrovica , Kosovo*

D. Ljuši
D. Ljuši

Neurology and Psychiatry Clinic, Medical faculty Priština , Kosovska Mitrovica , Kosovo*

Published: 01.01.2011.

Volume 39, Issue 1 (2011)

pp. 69-73;

https://doi.org/10.70949/pramed201101401F

Abstract

Epidemiological characteristics of acute stroke certify the great importance of such disease, which takes the measures of a mass incontagious illness, because it represents one of leading causes of death and invalidity in the world. Contemporary knowledge about the complexity of cerebral infarct has been significantly increased thanks to new imaging methods, which allows correction of clinicaly stated diagnose. The aim of our research was to determine clinical manifestation signs of supratentorial infarcts and their presence compared to anatomic localisations of lesions. 60 patients were clinicaly tested, and a computerised tomografy of brain followed, which disclosed anatomic localisation of lesions. Results have shown that the maniestation of supratentorial infarct in the AMC zone has the most neurological signs, from conscious state disorders, graver pyramid deficit, speaking disorder to hemihypesthesia and hemianopsys. Lighter neurological deficit is found in infarcts which affect AAC and APC zones, which brings to a conclusion that knowing the clinical state and without applying neuroradiological methods can imply to localisation of supratentorial infarcts.

Keywords

References

1.
Dyken ML. Controversies in stroke: past and present. Stroke. 24:1251–8.
2.
Wylie CM. Epidemiology of cerebrovascular disease. In: Handbook of Clinical Neurology. p. 183–202.
3.
Anderson CS, Linto J. A population-based assessment of the impact and burden of caregiving for long-term stroke survivors. Stroke. 26:843.
4.
Andersen G. Post-stroke depression. European Psychiatry. 12(3):255–60.
5.
Warlow CP. Epidemiology of stroke. Lancet. 352(Suppl. 3):1.
6.
Živković M, Vojinović D, Mršulja BB. Biogenic amines in brain ischemia. In: Biološki osnovi cerebrovaskularne bolesti. p. 91–6.
7.
Marinković S, Milosavljević M. Arteries of the brain: anatomical and clinical characteristics.
8.
Marinković S, Gibo H, Brigante L, Milosavljević M, Dowrelli R. Arteries of the brain and spinal cord.
9.
Živković M, Šternić N, Kostić VS. Ishemička bolest mozga. Beograd: Zavod za udžbenike i nastavna sredstva.
10.
Dettmers C, Solymosi L, Hartmann A, Buermann J, Hagendorff A. Confirmation CT criteria to distinguish pathophysiologic subtypes of cerebral infarction. AJNR American Journal of Neuroradiology. 18(2):335–42.
11.
Ocić G, Malobabić S, Jovanović Z. Alexia with agraphia. Neurologia. 38:349–57.
12.
Boon A, Lodder J, Raak L, Kessels F. Silent brain infarcts in 755 consecutive patients with a first-ever supratentorial ischemic stroke. Relationship with index stroke subtype, vascular risk factors, and mortality. Stroke. 25(12):2348–54.
13.
Andre C, Pinheiro RS. The correlation of CT findings and in-hospital mortality after cerebral infarction. Arquivos de Neuropsiquiatria. 53(3-A):395–402.
14.
Lahoz CH, Guissola LM, Solas-Puig X, Tunon A, Mateo SV, Vidal JA. Prognosis factors of supratentorial cerebrovascular accidents. Revista de Neurología. 23(123):1087–90.
15.
Szpakowa GM. Topography and structure of secondary brain damage in edema associated with supratentorial foci of encephalomalacia. Neuropatologia Polska. 27(2):177–98.
16.
Horning CR, Buttner T, Hufnagel A, Schroder RK, Dorndorf W. Epileptic seizures following ischemic cerebral infarction: Clinical picture, CT findings, and prognosis. European Archives of Psychiatry and Neurological Sciences. 239(6):379–83.

Citation

Copyright

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Most read articles

Indexed by