Lesion patterns of small deep infarcts have different clinical and imaging characteristics

European Neurology

Volumn 63, Issue 6, 2010, Pages 343-349

  Kim, Joon Tae ^a   Yoon, Geum Jin ^a   Park, Man Seok ^a,b   Nam, Tai Seung ^a,b   Choi, Seong Min ^a,b   Lee, Seung Han ^a,b   Kim, Byeong Chae ^a   Kim, Myeong Kyu ^a   Cho, Ki Hyun ^a  

^a Chonnam National University Medical School   (South Korea)

^b Chonnam National University   (South Korea)

Author keywords

Diffusion weighted imaging; Lacunar infarction; Small deep infarcts

Indexed keywords

ADULT; AGED; ARTICLE; BRAIN DAMAGE; BRAIN INFARCTION; CONTROLLED STUDY; DIFFUSION WEIGHTED IMAGING; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MIDDLE CEREBRAL ARTERY OCCLUSION; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; SMALL DEEP INFARCT; BRAIN; BRAIN MAPPING; CHI SQUARE DISTRIBUTION; HEMISPHERIC DOMINANCE; MAGNETIC RESONANCE ANGIOGRAPHY; MIDDLE AGED; NEUROLOGIC EXAMINATION; NONPARAMETRIC TEST; PATHOLOGY; PROCEDURES; RETROSPECTIVE STUDY;

AGED; BRAIN; BRAIN INFARCTION; BRAIN MAPPING; CHI-SQUARE DISTRIBUTION; DIFFUSION MAGNETIC RESONANCE IMAGING; FEMALE; FUNCTIONAL LATERALITY; HUMANS; MAGNETIC RESONANCE ANGIOGRAPHY; MALE; MIDDLE AGED; NEUROLOGIC EXAMINATION; RETROSPECTIVE STUDIES; STATISTICS, NONPARAMETRIC;

EID: 77952806646     PISSN: 00143022     EISSN: None     Source Type: Journal    
DOI: 10.1159/000311704     Document Type: Article

References (25)

1. Fisher CM: Lacunar strokes and infarcts: a review. Neurology 1982; 32: 871-876.
2. Fisher CM: The arterial lesions underlying lacunes. Acta Neuropathol 1968; 12: 1-15.
3. Gandolfo C, Moretti C, Dall'Agata D, Primavera A, Brusa G, Loeb C: Long-term prognosis of patients with lacunar syndromes. Acta Neurol Scand 1986; 74: 224-229.
4. Bamford J, Sandercock P, Jones L, Warlow C: The natural history of lacunar infarction: The Oxfordshire Community Stroke Project. Stroke 1987; 18: 545-551.
5. Clavier I, Hommel M, Besson G, Noelle B, Perret JE: Long-term prognosis of symptomatic lacunar infarcts. A hospital-based study. Stroke 1994; 25: 2005-2009.
6. Salgado AV, Ferro JM, Gouveia-Oliveira A: Long-term prognosis of first-ever lacunar strokes. A hospital-based study. Stroke 1996; 27: 661-666.
7. Bang OY, Joo SY, Lee PH, Joo US, Lee JH, Joo IS, Huh K: The course of patients with lacunar infarcts and a parent arterial lesion: similarities to large artery vs. small artery disease. Arch Neurol 2004; 61: 514-519.
8. Baumgartner RW, Sidler C, Mosso M, Georgiadis D: Ischemic lacunar stroke in patients with and without potential mechanism other than small-artery disease. Stroke 2003; 34: 653-659.
9. Cho AH, Kang DW, Kwon SU, Kim JS: Is 15 mm size criterion for lacunar infarction still valid? A study on strictly subcortical middle cerebral artery territory infarction using diffusion- weighted MRI. Cerebrovasc Dis 2007; 23: 14-19.
10. Caplan LR: Intracranial branch atheromatous disease: a neglected, understudied, and underused concept. Neurology 1989; 39: 1246-1250.
11. Kim JS, Caplan LR, Wong KSL: Intracranial Atherosclerosis. Hoboken, Wiley-Blackwell, 2008.
12. Ay H, Furie KL, Singhal A, Smith WS, Sorensen AG, Koroshetz WJ: An evidencebased causative classification system for acute ischemic stroke. Ann Neurol 2005; 58: 688-697.
13. Adachi T, Kobayashi S, Yamaguchi S, Okada K: MRI findings of small subcortical 'lacunar- like' infarction resulting from large vessel disease. J Neurol 2000; 247: 280-285.
14. Fukuda H, Kitani M: Differences between treated and untreated hypertensive subjects in the extent of periventricular hyperintensities observed on brain MRI. Stroke 1995; 26: 1593-1597.
15. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis 2002; 39:S1-S266.
16. Lee KB, Oh HG, Roh H, Ahn MY: Can we discriminate stroke mechanisms by analyzing the infarct patterns in the striatocapsular region? Eur Neurol 2008; 60: 79-84.
17. Roquer J, Campello AR, Gomis M: Association of lacunar infarcts with small artery and large artery disease: a comparative study. Acta Neurol Scand 2004; 110: 350-354.
18. Bang OY, Heo JH, Kim JY, Park JH, Huh K: Middle cerebral artery stenosis is a major clinical determinant in striatocapsular small, deep infarction. Arch Neurol 2002; 59: 259-263.
19. Terai S, Hori T, Miake S, Tamaki K, Saishoji A: Mechanism in progressive lacunar infarction: a case report with magnetic resonance imaging. Arch Neurol 2000; 57: 255-258.
20. Nagakane Y, Yamada K, Ohara T, Yoshikawa K, Kuriyama N, Takayasu N, Kasai T, Yuki N, Nishimura T, Mizuno T, Nakagawa M: Preferred involvement of the basal ganglia after lenticulostriate infarction as a possible indicator of different gray and white matter vulnerability. Stroke 2008; 39: 494-496.
21. Derex L, Hermier M, Adeleine P, Pialat JB, Wiart M, Berthezene Y, Froment JC, Trouillas P, Nighoghossian N: Influence of the site of arterial occlusion on multiple baseline hemodynamic MRI parameters and postthrombolytic recanalization in acute stroke. Neuroradiology 2004; 46: 883-887.
22. Linfante I, Llinas RH, Selim M, Chaves C, Kumar S, Parker RA, Caplan LR, Schlaug G: Clinical and vascular outcome in internal carotid artery versus middle cerebral artery occlusions after intravenous tissue plasminogen activator. Stroke 2002; 33: 2066-2071.
23. Fiehler J, Knudsen K, Thomalla G, Goebell E, Rosenkranz M, Weiller C, Rother J, Zeumer H, Kucinski T: Vascular occlusion sites determine differences in lesion growth from early apparent diffusion coefficient lesion to final infarct. AJNR Am J Neuroradiol 2005; 26: 1056-1061.
24. Wardlaw JM, Sandercock PA, Dennis MS, Starr J: Is breakdown of the blood-brain barrier responsible for lacunar stroke, leukoaraiosis, and dementia? Stroke 2003; 34: 806-812.
25. Gouw AA, van der Flier WM, Fazekas F, van Straaten EC, Pantoni L, Poggesi A, Inzitari D, Erkinjuntti T, Wahlund LO, Waldemar G, Schmidt R, Scheltens P, Barkhof F: Progression of white matter hyperintensities and incidence of new lacunes over a 3-year period: The Leukoaraiosis and Disability Study. Stroke 2008; 39: 1414-1420.