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1. Biomedical articles (top 44; 2009 to 2014)
1. |||||..... 50%  Lee E, Kang DW, Kwon SU, Kim JS: Posterior cerebral artery infarction: diffusion-weighted MRI analysis of 205 patients. Cerebrovasc Dis; 2009;28(3):298-305
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Posterior cerebral artery infarction: diffusion-weighted MRI analysis of 205 patients.
  • BACKGROUND AND PURPOSE: Although cardiac embolism has been shown to be the leading stroke mechanism of posterior cerebral artery (PCA) territory infarction, intrinsic PCA atherosclerotic disease may play a more important role in regions where intracranial diseases are prevalent.
  • Large artery atherosclerosis (LAA, 42.4%) was the most frequent etiology, followed by cardiogenic embolism (20%), small-vessel occlusion (20%), undetermined (18%) and other determined (3%) etiology.
  • In these patients, stroke mechanisms included atheromatous branch occlusion (n = 19), in situ thrombotic occlusion (n = 11) and artery-to-artery embolism (n = 8).
  • [MeSH-major] Infarction, Posterior Cerebral Artery / pathology
  • [MeSH-minor] Aged. Atherosclerosis / complications. Atherosclerosis / pathology. Constriction, Pathologic / pathology. Constriction, Pathologic / radionuclide imaging. Constriction, Pathologic / ultrasonography. Diffusion Magnetic Resonance Imaging. Echocardiography. Electrocardiography. Female. Humans. Image Processing, Computer-Assisted. Korea. Male. Middle Aged. Posterior Cerebral Artery / pathology. Posterior Cerebral Artery / radionuclide imaging. Posterior Cerebral Artery / ultrasonography. Retrospective Studies. Risk Factors. Tomography, Emission-Computed, Single-Photon

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  • [Copyright] Copyright (c) 2009 S. Karger AG, Basel.
  • (PMID = 19622882.001).
  • [ISSN] 1421-9786
  • [Journal-full-title] Cerebrovascular diseases (Basel, Switzerland)
  • [ISO-abbreviation] Cerebrovasc. Dis.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Switzerland
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2. |||||..... 48%  Terranova S, Kumar JD, Libman RB: Posterior reversible encephalopathy syndrome mimicking a left middle cerebral artery stroke. Open Neuroimag J; 2012;6:10-2
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Posterior reversible encephalopathy syndrome mimicking a left middle cerebral artery stroke.
  • One example of this would be the sudden onset of aphasia without hemiparesis often reflecting cerebral embolism, frequently from a cardiac source.
  • Posterior reversible encephalopathy syndrome (PRES) describes a usually reversible neurologic syndrome with a variety of presenting symptoms from headache, altered mental status, seizures, vomiting, diminished spontaneity and speech, abnormalities of visual perception and visual loss.

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  • (PMID = 22371821.001).
  • [ISSN] 1874-4400
  • [Journal-full-title] The open neuroimaging journal
  • [ISO-abbreviation] Open Neuroimag J
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Netherlands
  • [Other-IDs] NLM/ PMC3282886
  • [Keywords] NOTNLM ; Embolism / Posterior reversible encephalopathy syndrome / Stroke / Wernicke's aphasia.
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3. |||||..... 45%  Hwang J, Kim SJ, Hong JM, Bang OY, Chung CS, Lee KH, Kim GM: Microembolic signals in acute posterior circulation cerebral ischemia: sources and consequences. Stroke; 2012 Mar;43(3):747-52
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Microembolic signals in acute posterior circulation cerebral ischemia: sources and consequences.
  • BACKGROUND AND PURPOSE: The clinical significance of microembolic signals (MES) in the posterior circulation remains unclear.
  • The aim of this study was to investigate the sources and consequences of MES in acute posterior circulation cerebral ischemia.
  • METHODS: We evaluated a total of 140 consecutive patients (93 males, mean age 62.9 years) who had acute posterior circulation cerebral ischemia.
  • The MES monitoring was conducted at the basilar artery through the suboccipital window for a 30-minute period.
  • Intracranial vertebrobasilar artery (VBA) stenosis was independently associated with the presence of MES (odds ratio, 9.85; 95% confidence interval, 1.22-79.48; P=0.032), whereas the patients with vertebral artery stenosis that was limited to the extracranial portion did not show an association.
  • CONCLUSIONS: In acute posterior circulation cerebral ischemia, intracranial and severe VBA stenosis is associated with MES and may be its root causes.
  • [MeSH-major] Brain Ischemia / physiopathology. Intracranial Embolism / physiopathology. Posterior Cerebral Artery / physiopathology. Stroke / physiopathology

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  • (PMID = 22343653.001).
  • [ISSN] 1524-4628
  • [Journal-full-title] Stroke; a journal of cerebral circulation
  • [ISO-abbreviation] Stroke
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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4. ||||...... 44%  Suzuki K, Ueda M, Muraga K, Abe A, Suda S, Okubo S, Katayama Y: An unusual cerebral air embolism developing within the posterior circulation territory after a needle lung biopsy. Intern Med; 2013;52(1):115-7
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  • [Title] An unusual cerebral air embolism developing within the posterior circulation territory after a needle lung biopsy.
  • We herein report the case of a 75-year-old woman with a paradoxical cerebral air embolism (CAE).
  • The air density within the descending aorta on chest CT suggested the presence of a cerebral air embolism.
  • The face down position and the anatomical features of the right subclavian artery, which diverges backward from the brachiocephalic artery, might explain such a unique distribution of CAE in this patient.
  • [MeSH-major] Biopsy, Needle / adverse effects. Embolism, Air / etiology. Hyperbaric Oxygenation / methods. Iatrogenic Disease. Image-Guided Biopsy / adverse effects. Lung Neoplasms / pathology

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  • (PMID = 23291685.001).
  • [ISSN] 1349-7235
  • [Journal-full-title] Internal medicine (Tokyo, Japan)
  • [ISO-abbreviation] Intern. Med.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Japan
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5. ||||...... 36%  Harloff A, Strecker C, Dudler P, Nussbaumer A, Frydrychowicz A, Olschewski M, Bock J, Stalder AF, Stroh AL, Weiller C, Hennig J, Markl M: Retrograde embolism from the descending aorta: visualization by multidirectional 3D velocity mapping in cryptogenic stroke. Stroke; 2009 Apr;40(4):1505-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Retrograde embolism from the descending aorta: visualization by multidirectional 3D velocity mapping in cryptogenic stroke.
  • Multidirectional 3D MRI velocity mapping of the aorta was performed to correlate the extent of retrograde diastolic blood flow with the distance of complex DAo plaques from the left subclavian artery (LSA).
  • Embolic risk from the DAo was present for (1) retrograde flow connecting complex DAo plaques with the LSA, (2) embolic pattern of brain ischemia in a territory supplied by the left vertebral artery, and (3) stroke that could not be explained by other means.
  • In 4 of these 20 patients (20%) with an embolic stroke in the territory of the brain stem, cerebellum or posterior cerebral artery, etiology could not be explained by other means.
  • [MeSH-major] Aorta, Thoracic / pathology. Aortic Diseases / pathology. Atherosclerosis / pathology. Intracranial Embolism / pathology. Magnetic Resonance Imaging / methods. Stroke / pathology
  • [MeSH-minor] Acute Disease. Brain Ischemia / etiology. Brain Ischemia / pathology. Diastole. Humans. Imaging, Three-Dimensional. Prospective Studies. Subclavian Artery. Vertebral Artery

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  • (PMID = 19182085.001).
  • [ISSN] 1524-4628
  • [Journal-full-title] Stroke; a journal of cerebral circulation
  • [ISO-abbreviation] Stroke
  • [Language] eng
  • [Publication-type] Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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6. |||....... 32%  López-Serna R, González-Carmona P, López-Martínez M: Bilateral thalamic stroke due to occlusion of the artery of Percheron in a patient with patent foramen ovale: a case report. J Med Case Rep; 2009;3:7392
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  • [Title] Bilateral thalamic stroke due to occlusion of the artery of Percheron in a patient with patent foramen ovale: a case report.
  • The artery of Percheron, characterized by a single arterial trunk that irrigates both paramedian thalamic regions, can be occluded as a result of embolic diseases leading to bilateral paramedian thalamic infarcts.
  • Clinical and image findings of this uncommon form of posterior circulation infarct are presented along with their anatomic and pathophysiologic correlates.
  • The posterior circulation was patent including the tip of the basilar artery and both posterior cerebral arteries, making the case compatible with occlusion of the artery of Percheron.
  • Further evaluation with an aim to define the etiology revealed a patent foramen ovale as the cause of embolism.
  • CONCLUSION: Bilateral thalamic infarcts are unusual presentations of posterior circulation stroke; once they are diagnosed by an adequate neuroimaging protocol, a further evaluation to define the cause is necessary.

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  • (PMID = 19918273.001).
  • [ISSN] 1752-1947
  • [Journal-full-title] Journal of medical case reports
  • [ISO-abbreviation] J Med Case Rep
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Other-IDs] NLM/ PMC2767135
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7. |||....... 28%  Escudero D, Molina R, Viña L, Rodríguez P, Marqués L, Fernández E, Forcelledo L, Otero J, Taboada F, Vega P, Murias E, Gil A: [Endovascular treatment and intra-arterial thrombolysis in acute ischemic stroke]. Med Intensiva; 2010 Aug-Sep;34(6):370-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Treatment indications were: intravenous thrombolysis failure in 4 patients, major vessel occlusion in 5, outside of the therapeutic window in 2, posterior circulation occlusion in 3, outside of the therapeutic window plus major vessel occlusion in 1 and intravenous thrombolysis contraindication in 1.
  • The occlusion site was on posterior circulation in 3 and on carotid territories and branches in 13.
  • Technical complication was 1 femoral artery pseudoaneurysm.
  • [MeSH-major] Brain Ischemia / surgery. Endovascular Procedures. Fibrinolytic Agents / administration & dosage. Intracranial Embolism / surgery. Urokinase-Type Plasminogen Activator / administration & dosage
  • [MeSH-minor] Acute Disease. Adult. Aged. Cerebral Angiography. Clinical Trials as Topic. Combined Modality Therapy. Embolectomy / methods. Female. Humans. Infusions, Intra-Arterial. Intensive Care Units. Male. Middle Aged. Patient Selection. Prospective Studies. Radiography, Interventional. Stents. Thrombolytic Therapy / methods

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  • [Copyright] Copyright © 2009 Elsevier España, S.L. y SEMICYUC. All rights reserved.
  • (PMID = 20334954.001).
  • [ISSN] 0210-5691
  • [Journal-full-title] Medicina intensiva / Sociedad Española de Medicina Intensiva y Unidades Coronarias
  • [ISO-abbreviation] Med Intensiva
  • [Language] spa
  • [Publication-type] Clinical Trial; English Abstract; Journal Article
  • [Publication-country] Spain
  • [Chemical-registry-number] 0 / Fibrinolytic Agents; EC 3.4.21.73 / Urokinase-Type Plasminogen Activator
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8. |||||..... 53%  Durand-Birchenall J, Bugnicourt JM: [Posterior cerebral artery infarctions with possible interaction between hypoperfusion and embolism]. J Mal Vasc; 2013 Dec;38(6):381-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Posterior cerebral artery infarctions with possible interaction between hypoperfusion and embolism].
  • [Transliterated title] Infarctus cérébraux multiples : éléments en faveur de la coexistence de mécanismes emboliques et hémodynamiques dans le territoire postérieur.
  • Although embolism and hypoperfusion may well occur concurrently in a non-negligible proportion of cerebral infarction patients, there is currently lack of proof, especially in the posterior circulation.
  • Here, we are reporting on a case of multiple cerebral infarctions in a patient with neurofibromatosis type 1, multiple vascular abnormalities of the posterior cerebral circulation and intracranial artery occlusion.
  • We hypothesize that cerebral blood flow impairment may have affected the clearance and destination of embolic particles.

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  • [Copyright] Copyright © 2013 Elsevier Masson SAS. All rights reserved.
  • (PMID = 24210750.001).
  • [ISSN] 0398-0499
  • [Journal-full-title] Journal des maladies vasculaires
  • [ISO-abbreviation] J Mal Vasc
  • [Language] fre
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] France
  • [Keywords] NOTNLM ; Accident vasculaire cérébral / Anévrysme artériel intracrânien / Hemodynamics / Infarctus jonctionnel / Intracranial aneurysm / Neurofibomatosis / Neurofibromatose / Stroke
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9. ||||...... 44%  Shin DH, Lim TS, Yong SW, Lee JS, Choi JY, Hong JM: Posterior circulation embolism as a potential mechanism for migraine with aura. Cephalalgia; 2012 Apr;32(6):497-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Posterior circulation embolism as a potential mechanism for migraine with aura.
  • BACKGROUND: Although the mechanism of migraine is regarded as a functional disorder of the brain, numerous studies have reported that migraine is closely associated with vascular system abnormalities.
  • MRI showed multiple stroke lesions in the posterior circulation.
  • Moreover, a pseudoaneurysm (1.9 × 1.4 cm) originating from the left vertebral artery was observed on four-vessel angiography.
  • Multiple microembolic signals (MES) were repeatedly observed in the basilar artery using 30-minute transcranial Doppler monitoring.
  • [MeSH-major] Aneurysm, False / complications. Intracranial Embolism / complications. Migraine with Aura / etiology. Stroke / complications. Vertebral Artery / pathology
  • [MeSH-minor] Cerebral Angiography. Embolization, Therapeutic. Female. Humans. Young Adult

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  • (PMID = 22523188.001).
  • [ISSN] 1468-2982
  • [Journal-full-title] Cephalalgia : an international journal of headache
  • [ISO-abbreviation] Cephalalgia
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
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10. ||||...... 38%  Kim JS, Nah HW, Park SM, Kim SK, Cho KH, Lee J, Lee YS, Kim J, Ha SW, Kim EG, Kim DE, Kang DW, Kwon SU, Yu KH, Lee BC: Risk factors and stroke mechanisms in atherosclerotic stroke: intracranial compared with extracranial and anterior compared with posterior circulation disease. Stroke; 2012 Dec;43(12):3313-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Risk factors and stroke mechanisms in atherosclerotic stroke: intracranial compared with extracranial and anterior compared with posterior circulation disease.
  • BACKGROUND AND PURPOSE: The aim of this study was to investigate differences in risk factors and stroke mechanisms between intracranial atherosclerosis (ICAS) and extracranial atherosclerosis (ECAS) and between anterior and posterior circulation atherosclerosis.
  • Stroke mechanisms were categorized as artery-to-artery embolism, in situ thrombo-occlusion, local branch occlusion, or hemodynamic impairment.
  • Age (odds ratio [OR], 1.033; 95% confidence interval [CI], 1.018-1.049), male gender (OR, 3.399; 95% CI, 2.335-4.949), and hyperlipidemia (OR, 1.502; 95% CI, 1.117-2.018) were factors favoring ECAS (vs ICAS), whereas hypertension (OR, 1.826; 95% CI, 1.274-2.618; P=0.001) and diabetes mellitus (OR, 1.490; 95% CI, 1.105-2.010; P=0.009) were related to posterior (vs anterior) circulation diseases.
  • Metabolic syndrome was a factor related to ICAS (vs ECAS) only in posterior circulation strokes (OR, 2.433; 95% CI, 1.005-5.890; P=0.007).
  • Stroke mechanisms included arterytoartery embolism (59.7%), local branch occlusion (14.9%), in situ thrombo-occlusion (13.7%), hemodynamic impairment (0.9%), and mixed (10.8%).
  • Anterior ICAS was more often associated with artery-to-artery embolism (51.8% vs 34.0%) and less often associated with local branch occlusion (12.3% vs 40.4%) than posterior ICAS (P<0.001).
  • CONCLUSIONS: The prevalence of risk factors and stroke mechanisms differ between ICAS and ECAS, and between anterior and posterior circulation atherosclerosis.
  • Posterior ICAS seems to be closely associated with metabolic derangement and local branch occlusion.
  • [MeSH-minor] Adult. Aged. Aged, 80 and over. Anterior Cerebral Artery / metabolism. Anterior Cerebral Artery / pathology. Anterior Cerebral Artery / physiopathology. Female. Humans. Intracranial Embolism / epidemiology. Intracranial Embolism / pathology. Intracranial Embolism / physiopathology. Magnetic Resonance Angiography. Magnetic Resonance Imaging. Male. Middle Aged. Posterior Cerebral Artery / metabolism. Posterior Cerebral Artery / pathology. Posterior Cerebral Artery / physiopathology. Prevalence. Prospective Studies. Registries / statistics & numerical data. Republic of Korea / epidemiology. Risk Factors. Young Adult

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  • (PMID = 23160885.001).
  • [ISSN] 1524-4628
  • [Journal-full-title] Stroke; a journal of cerebral circulation
  • [ISO-abbreviation] Stroke
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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11. |||....... 28%  Brown AT, Skinner RD, Flores R, Hennings L, Borrelli MJ, Lowery J, Culp WC: Stroke location and brain function in an embolic rabbit stroke model. J Vasc Interv Radiol; 2010 Jun;21(6):903-9
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  • MATERIALS AND METHODS: New Zealand White rabbits (4-5 kg; N = 71) had selective internal carotid artery (ICA) angiography and a single clot was injected.
  • The middle cerebral artery (MCA), at 52%, and anterior cerebral artery (ACA), at 29%, were most commonly involved, with the largest stroke volumes in the ACA distribution.
  • These sites were relatively silent (potentially allowing longer-term survival studies) whereas others in the posterior circulation produced disproportionately severe symptoms.
  • [MeSH-major] Brain / physiopathology. Brain / radiography. Disease Models, Animal. Intracranial Embolism / physiopathology. Intracranial Embolism / radiography. Stroke / physiopathology. Stroke / radiography

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  • [Copyright] Copyright (c) 2010 SIR. Published by Elsevier Inc. All rights reserved.
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  • (PMID = 20417119.001).
  • [ISSN] 1535-7732
  • [Journal-full-title] Journal of vascular and interventional radiology : JVIR
  • [ISO-abbreviation] J Vasc Interv Radiol
  • [Language] eng
  • [Grant] United States / NHLBI NIH HHS / HL / R01 HL082481-01; United States / NHLBI NIH HHS / HL / R01 HL082481-02; United States / NHLBI NIH HHS / HL / R01 HL082481-03; United States / NHLBI NIH HHS / HL / R01 HL082481-04; United States / NHLBI NIH HHS / HL / R01 HL082481-05; United States / NHLBI NIH HHS / HL / R01HL82481
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural
  • [Publication-country] United States
  • [Other-IDs] NLM/ NIHMS187662; NLM/ PMC2875361
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12. |||....... 28%  Cano LM, Cardona P, Quesada H, Mora P, Rubio F: [Cerebellar infarction: prognosis and complications of vascular territories]. Neurologia; 2012 Jul-Aug;27(6):330-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Transliterated title] Infarto cerebeloso: pronóstico y complicaciones de sus territorios vasculares.
  • The posterior inferior cerebellar artery (PICA) was the most commonly affected territory at 49.2%, followed by superior cerebellar artery (SCA) at 17.7%, and anterior inferior cerebellar artery (AICA) at 10.5%.
  • On the other hand, cardio-embolism was the main origin in cases with more than one affected territory (P=.04).
  • [MeSH-major] Cerebellar Diseases / therapy. Cerebral Infarction / therapy
  • [MeSH-minor] Adult. Aged. Aged, 80 and over. Cerebral Arteries / pathology. Disability Evaluation. Female. Humans. Hydrocephalus / complications. Intracranial Hemorrhages / etiology. Intracranial Hemorrhages / pathology. Intracranial Thrombosis / complications. Male. Middle Aged. Prognosis. Risk Factors. Stroke / complications. Treatment Outcome

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  • [Copyright] Copyright © 2011 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.
  • (PMID = 22341984.001).
  • [ISSN] 1578-1968
  • [Journal-full-title] Neurología (Barcelona, Spain)
  • [ISO-abbreviation] Neurologia
  • [Language] spa
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Spain
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13. ||||...... 38%  Kawano H, Inatomi Y, Hirano T, Yonehara T, Uchino M: Anticoagulation therapy for vertebral artery stump syndrome. J Neurol Sci; 2010 Aug 15;295(1-2):125-7
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  • [Title] Anticoagulation therapy for vertebral artery stump syndrome.
  • There are very few reports describing the presence of a stump embolism after vertebral artery occlusion.
  • We describe three patients who presented with posterior circulation ischemic strokes after vertebral artery occlusion.
  • [MeSH-major] Anticoagulants / therapeutic use. Embolism / drug therapy. Embolization, Therapeutic / methods. Vertebral Artery / pathology
  • [MeSH-minor] Aged. Arterial Occlusive Diseases / complications. Cerebral Angiography / methods. Female. Humans. Male. Middle Aged

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  • [Copyright] Copyright (c) 2010 Elsevier B.V. All rights reserved.
  • (PMID = 20605168.001).
  • [ISSN] 1878-5883
  • [Journal-full-title] Journal of the neurological sciences
  • [ISO-abbreviation] J. Neurol. Sci.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Netherlands
  • [Chemical-registry-number] 0 / Anticoagulants
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14. ||||...... 38%  Takeda J, Todo K, Yamamoto S, Yamagami H, Kawamoto M, Kohara N: [Paradoxical brain embolism mediated through a pulmonary arteriovenous malformation with hereditary hemorrhagic telangiectasia in a Japanese patient]. Rinsho Shinkeigaku; 2012;52(3):161-5
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  • [Title] [Paradoxical brain embolism mediated through a pulmonary arteriovenous malformation with hereditary hemorrhagic telangiectasia in a Japanese patient].
  • We report a case of paradoxical brain embolism mediated through a pulmonary arteriovenous malformation (PAVM) with hereditary hemorrhagic telangiectasia (HHT).
  • Diffusion weighted images disclosed a high-signal-intensity area in the right occipito-temporal lobe, and intraarterial digital subtraction cerebral angiography revealed occlusion of the right posterior cerebral artery.
  • The diagnosis of paradoxical brain embolism mediated through the PAVM with HHT was, thus, established.
  • [MeSH-major] Arteriovenous Malformations / complications. Intracranial Embolism / etiology. Pulmonary Artery / abnormalities. Pulmonary Veins / abnormalities. Telangiectasia, Hereditary Hemorrhagic / complications

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  • (PMID = 22453040.001).
  • [ISSN] 1882-0654
  • [Journal-full-title] Rinshō shinkeigaku = Clinical neurology
  • [ISO-abbreviation] Rinsho Shinkeigaku
  • [Language] jpn
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Japan
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15. ||||...... 37%  Panichpisal K, Saigusa T, Sehli S, Nugent K, Yim JH: Acute massive cerebral infarctions treated with hemodialysis. J Stroke Cerebrovasc Dis; 2009 Jul-Aug;18(4):316-8
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  • [Title] Acute massive cerebral infarctions treated with hemodialysis.
  • She developed an acute right middle cerebral artery infarction with severe edema; her cerebral edema significantly improved with daily HD.
  • Later in her hospitalization, she developed seizures and new onset of multiple acute embolic infarctions in left middle cerebral artery, left anterior cerebral artery (ACA), and right posterior cerebral artery (PCA) distributions with midline shift.
  • However, we again noticed a dramatic decrease in cerebral edema with frequent HD.
  • Although there is controversy about the use of dialysis in patients with stroke, our case suggests that daily HD may provide an alternate strategy for treating massive cerebral infarction.
  • [MeSH-major] Down Syndrome / complications. Infarction, Middle Cerebral Artery / etiology. Infarction, Middle Cerebral Artery / therapy. Kidney Failure, Chronic / complications. Kidney Failure, Chronic / therapy. Renal Dialysis / methods
  • [MeSH-minor] Aphasia / etiology. Blood Volume / physiology. Brain / pathology. Brain / physiopathology. Brain / radiography. Brain Edema / etiology. Brain Edema / physiopathology. Brain Edema / therapy. Disease Progression. Echocardiography. Female. Hemianopsia / etiology. Hemiplegia / etiology. Humans. Intracranial Embolism / etiology. Intracranial Embolism / physiopathology. Pericardial Effusion / etiology. Pericardial Effusion / physiopathology. Pericardial Effusion / therapy. Seizures / etiology. Seizures / physiopathology. Tomography, X-Ray Computed. Treatment Outcome. Young Adult

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  • (PMID = 19560689.001).
  • [ISSN] 1532-8511
  • [Journal-full-title] Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
  • [ISO-abbreviation] J Stroke Cerebrovasc Dis
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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16. ||||...... 36%  Clarençon F, Blanc R, Gallas S, Hosseini H, Gaston A: Thrombectomy for acute basilar artery occlusion by using double Merci retriever devices and bilateral temporary vertebral artery flow reversal. Technical note. J Neurosurg; 2009 Jul;111(1):53-6
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  • [Title] Thrombectomy for acute basilar artery occlusion by using double Merci retriever devices and bilateral temporary vertebral artery flow reversal. Technical note.
  • Basilar artery occlusion is a dramatic clinical event with a high mortality rate if patients are treated by standard medical therapy, including anticoagulation agents.
  • The authors describe a successful mechanical removal of an obstruction in an acute occlusion of the basilar artery tip involving both proximal segments of posterior cerebral arteries in a 20-year-old man.
  • They used 2 Merci retriever devices at the same time, and performed bilateral proximal vertebral artery occlusion for temporary flow reversal and aspiration.
  • [MeSH-major] Basilar Artery / surgery. Intracranial Embolism / prevention & control. Thrombectomy / instrumentation. Thrombectomy / methods. Vertebrobasilar Insufficiency / surgery
  • [MeSH-minor] Acute Disease. Cerebral Angiography. Cerebrovascular Circulation. Humans. Male. Tomography, X-Ray Computed. Young Adult

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  • (PMID = 19249927.001).
  • [ISSN] 0022-3085
  • [Journal-full-title] Journal of neurosurgery
  • [ISO-abbreviation] J. Neurosurg.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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17. ||||...... 36%  Govaert P, Dudink J, Visser G, Breukhoven P, Vanhatalo S, Lequin M: Top of the basilar artery embolic stroke and neonatal myoclonus. Dev Med Child Neurol; 2009 Apr;51(4):324-7
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  • [Title] Top of the basilar artery embolic stroke and neonatal myoclonus.
  • Imaging documented arterial ischaemic stroke within the left posterior cerebral and both superior cerebellar arteries, compatible with top of the basilar artery stroke.
  • The probable cause was embolism from an in-utero-onset inferior caval vein thrombosis.
  • Embolism can cause neonatal top of the basilar artery stroke, which may present with myoclonus due to cerebellar injury.
  • [MeSH-major] Basilar Artery / physiopathology. Intracranial Embolism / complications. Myoclonus / etiology. Stroke / complications. Stroke / pathology

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  • [ErratumIn] Dev Med Child Neurol. 2009 Sep;51(9):761
  • (PMID = 19207294.001).
  • [ISSN] 1469-8749
  • [Journal-full-title] Developmental medicine and child neurology
  • [ISO-abbreviation] Dev Med Child Neurol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
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18. ||||...... 35%  Yamasaki M, Watanabe S, Abe K, Uenishi M, Kawazoe K: Successful surgical treatment with mitral valve replacement and coronary embolectomy in a patient with active infective endocarditis complicated by multiple septic embolisms involving cerebral arteries and the right coronary artery. Gen Thorac Cardiovasc Surg; 2010 Sep;58(9):471-5; discussion 476
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  • [Title] Successful surgical treatment with mitral valve replacement and coronary embolectomy in a patient with active infective endocarditis complicated by multiple septic embolisms involving cerebral arteries and the right coronary artery.
  • Cardiac echography showed a verruca on the posterior mitral cusp and leaflet destruction, resulting in severe valvular regurgitation (determined pathogen was α-streptococcus).
  • High-dose antibiotic infusion and restriction of physical activity to prevent heart failure were combined with emergency craniotomy drainage and coiling of the necks of two cerebral mycotic aneurysms.
  • After 2 months of conservative therapy for IE, he suddenly collapsed with hypotension and bradycardia because of embolic occlusion of the proximal right coronary artery (RCA).
  • [MeSH-minor] Coronary Angiography. Embolism / diagnosis. Embolism / etiology. Embolism / microbiology. Humans. Intracranial Aneurysm / etiology. Intracranial Aneurysm / radiography. Intracranial Embolism / etiology. Intracranial Embolism / microbiology. Intracranial Embolism / radiography. Male. Middle Aged

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  • (PMID = 20859727.001).
  • [ISSN] 1863-6713
  • [Journal-full-title] General thoracic and cardiovascular surgery
  • [ISO-abbreviation] Gen Thorac Cardiovasc Surg
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Japan
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19. ||||...... 35%  Ohsaka M, Takgami M, Koyanagi I, Kim S, Houkin K: [Cerebral ischemia originating from rotational vertebral artery occlusion caused by C5/6 spondylotic changes: a case report]. No Shinkei Geka; 2009 Aug;37(8):797-802
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  • [Title] [Cerebral ischemia originating from rotational vertebral artery occlusion caused by C5/6 spondylotic changes: a case report].
  • Computed tomography (CT)-angiography demonstrated narrowing of the right vertebral artery due to compression of the lateral osteophyte at C5/6.
  • Vertebral angiography revealed complete occlusion of the right vertebral artery induced by right rotation of the head.
  • The artery-to-artery embolism caused by repeated occlusion of the right vertebral artery due to the neck motion was suggested as the mechanism of ischemic attack in this patient.
  • Osteophytectomy at C5/6 via the anterior approach successfully treated dynamic occlusion of the right vertebral artery.
  • Occlusion of the vertebral artery at C1/2 by the head rotation is well known as Bow-Hunter's syndrome.
  • In case of ischemic attack of the posterior circulation with lateral osteophyte formation of the cervical spine, dynamic occlusion mechanisms of the vertebral artery at the lower cervical level should be considered.

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  • (PMID = 19663339.001).
  • [ISSN] 0301-2603
  • [Journal-full-title] No shinkei geka. Neurological surgery
  • [ISO-abbreviation] No Shinkei Geka
  • [Language] jpn
  • [Publication-type] Case Reports; English Abstract; Journal Article; Review
  • [Publication-country] Japan
  • [Number-of-references] 18
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20. |||....... 35%  Yarmohammadi H, Carasca A, Yarmohammadi H, Hsu DP: Patent foramen ovale associated with the unusual presentation of unilateral paramedian thalamic perforating artery infarction after embolic occlusion of 'artery of Percheron': case report and review of the literature. J Neurointerv Surg; 2011 Jun;3(2):156-9
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  • [Title] Patent foramen ovale associated with the unusual presentation of unilateral paramedian thalamic perforating artery infarction after embolic occlusion of 'artery of Percheron': case report and review of the literature.
  • 'Artery of Percheron' is a rare variation in blood supply in which a solitary arterial trunk arises from one of the proximal segments of the posterior cerebral arteries and supplies the paramedian thalami bilaterally.
  • [MeSH-major] Cerebral Infarction / complications. Foramen Ovale, Patent / complications. Intracranial Embolism / complications

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  • (PMID = 21990809.001).
  • [ISSN] 1759-8486
  • [Journal-full-title] Journal of neurointerventional surgery
  • [ISO-abbreviation] J Neurointerv Surg
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Review
  • [Publication-country] England
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21. |||....... 35%  Park JH, Roh JK, Kwon HM: Ischemic stroke patterns and hemodynamic features in patients with small vertebrobasilar artery. J Neurol Sci; 2009 Dec 15;287(1-2):227-35
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  • [Title] Ischemic stroke patterns and hemodynamic features in patients with small vertebrobasilar artery.
  • BACKGROUND: To determine the role of small vertebrobasilar artery (SVBA) in patients with posterior circulation stroke (PCS), we evaluated the ischemic patterns, collateral features, and stroke mechanisms in PCS patients with SVBA.
  • RESULTS: Ischemic lesions were predominantly observed in the cerebellum and/or medulla (vertebral artery (VA) territory).
  • All subjects had fetal posterior circulation (FPC) from the internal carotid artery to the posterior cerebral artery.
  • In 14 patients (77.8%), long circumferential artery (LCA) was prominently observed.
  • In atherothrombotic patients, infratentorial PCS might occur following artery-to-artery embolism from the low-flowed or stenotic VA to LCA.
  • [MeSH-major] Basilar Artery / abnormalities. Brain Stem Infarctions / pathology. Brain Stem Infarctions / physiopathology. Vertebral Artery / abnormalities. Vertebrobasilar Insufficiency / pathology. Vertebrobasilar Insufficiency / physiopathology

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  • (PMID = 19682709.001).
  • [ISSN] 1878-5883
  • [Journal-full-title] Journal of the neurological sciences
  • [ISO-abbreviation] J. Neurol. Sci.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Netherlands
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22. |||....... 34%  Zhu L, Wintermark M, Saloner D, Fandel M, Pan XM, Rapp JH: The distribution and size of ischemic lesions after carotid artery angioplasty and stenting: evidence for microembolization to terminal arteries. J Vasc Surg; 2011 Apr;53(4):971-5; discussion 975-6
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  • [Title] The distribution and size of ischemic lesions after carotid artery angioplasty and stenting: evidence for microembolization to terminal arteries.
  • To examine this issue in humans we recorded the number and distribution of new ischemic lesions on diffusion-weighted magnetic resonance imaging (DWMRI) after carotid artery stenting (CAS), a procedure producing showers of numerous small atheroemboli.
  • Lesions were in the distribution of the middle cerebral artery (91.6%), posterior cerebral artery (6.1%), and superior cerebellar artery subclavian artery (2.0%).
  • CONCLUSIONS: The ischemic areas developing after CAS were predominately in the deeper layers of the cortex in the distribution of the middle cerebral artery, but lesions were seen throughout the brain.
  • [MeSH-major] Angioplasty, Balloon / adverse effects. Angioplasty, Balloon / instrumentation. Brain Ischemia / etiology. Carotid Stenosis / therapy. Intracranial Embolism / etiology. Stents. Stroke / etiology

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  • [Copyright] Published by Mosby, Inc.
  • (PMID = 21215560.001).
  • [ISSN] 1097-6809
  • [Journal-full-title] Journal of vascular surgery
  • [ISO-abbreviation] J. Vasc. Surg.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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23. |||....... 34%  Lapergue B, Deroide N, Pocard M, Michel JB, Meilhac O, Bonnin P: Transcranial duplex sonography for monitoring circle of Willis artery occlusion in a rat embolic stroke model. J Neurosci Methods; 2011 Apr 30;197(2):289-96
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  • [Title] Transcranial duplex sonography for monitoring circle of Willis artery occlusion in a rat embolic stroke model.
  • We sought to assess the potential of transcranial duplex sonography (TDS) in comparison with laser Doppler flowmetry (LDF) to monitor the time of recanalization after occlusion of the right distal intracranial internal carotid artery (rICA) and to predict infarct volume at 24h after ischemia.
  • Right and left ICA, posterior cerebral arteries, and basilar trunk (BT) were monitored by TDS and regional cerebral blood flow was monitored by LDF at baseline, 1, 4 and 24h after the ES onset.
  • [MeSH-major] Cerebral Arteries / ultrasonography. Circle of Willis / ultrasonography. Intracranial Embolism / ultrasonography. Stroke / ultrasonography. Ultrasonography, Doppler, Duplex / methods. Ultrasonography, Doppler, Transcranial / methods

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  • [Copyright] Copyright © 2011 Elsevier B.V. All rights reserved.
  • (PMID = 21354207.001).
  • [ISSN] 1872-678X
  • [Journal-full-title] Journal of neuroscience methods
  • [ISO-abbreviation] J. Neurosci. Methods
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Netherlands
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24. |||....... 33%  Choi JM, Hong HJ, Chang SK, Oh SH: Cerebellar infarction originating from vertebral artery stenosis caused by a hypertrophied uncovertebral joint. J Stroke Cerebrovasc Dis; 2012 Nov;21(8):908.e7-9
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  • [Title] Cerebellar infarction originating from vertebral artery stenosis caused by a hypertrophied uncovertebral joint.
  • We report a case of cerebellar infarction originating from vertebral artery stenosis caused by a hypertrophied uncovertebral joint.
  • The magnetic resonance imaging scan of the brain revealed acute infarction in the right cerebellar hemisphere in the territory of the posterior inferior cerebellar artery (PICA) and superior cerebellar artery (SCA).
  • Magnetic resonance, 3-dimensional computed tomographic, and conventional angiography revealed severe right vertebral artery stenosis by extrinsic compression of the hypertrophied right C5-C6 uncovertebral joint.
  • The diagnosis was acute cerebellar infarction, which was probably caused by embolism from the right vertebral artery stenosis that was caused by the hypertrophied C5-C6 uncovertebral joint.
  • Postoperative 3-dimensional computed tomographic angiography revealed improvement in antegrade filling in the right vertebral artery.
  • [MeSH-minor] Adult. Cerebral Angiography / methods. Decompression, Surgical. Diffusion Magnetic Resonance Imaging. Humans. Hypertrophy. Male. Platelet Aggregation Inhibitors / therapeutic use. Thrombolytic Therapy. Tomography, X-Ray Computed

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  • [Copyright] Copyright © 2012 National Stroke Association. Published by Elsevier Inc. All rights reserved.
  • (PMID = 22365284.001).
  • [ISSN] 1532-8511
  • [Journal-full-title] Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
  • [ISO-abbreviation] J Stroke Cerebrovasc Dis
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Platelet Aggregation Inhibitors
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25. |||....... 31%  Vicenzini E, Petolicchio B, Toscano M, La Cesa S, Puledda F, Lenzi GL, Di Piero V: Cardioembolic stroke: Protective effect of a severe internal carotid artery stenosis in a patient with cardiac embolism. J Clin Ultrasound; 2013 Nov-Dec;41 Suppl 1:22-7
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  • [Title] Cardioembolic stroke: Protective effect of a severe internal carotid artery stenosis in a patient with cardiac embolism.
  • Cardioembolic stroke is generally caused by intracranial artery occlusion.
  • We describe a patient with cardioembolic ischemic stroke in the right hemisphere in whom a left internal carotid artery stenosis paradoxically protected the ipsilateral hemisphere from distal intracranial embolism.
  • The patient also presented multiple acute ischemic embolic lesions in the right middle cerebral artery territory and in the right occipital lobe, which was fed by the posterior cerebral artery, anomally originating from the right carotid siphon.
  • Interestingly, the left internal carotid artery--which showed a severe preexisting stenosis--was occluded by the cardiac clot, whereas the right internal carotid artery only presented a moderate stenosis that had probably allowed the clots to pass.
  • Therefore, the severe left internal carotid artery stenosis may have blocked the cardiac embolus, preventing it from reaching the ipsilateral hemisphere.

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  • [Copyright] Copyright © 2013 Wiley Periodicals, Inc., A Wiley Company.
  • (PMID = 23303714.001).
  • [ISSN] 1097-0096
  • [Journal-full-title] Journal of clinical ultrasound : JCU
  • [ISO-abbreviation] J Clin Ultrasound
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Keywords] NOTNLM ; acute stroke / cardiac embolism / carotid artery / stenosis / ultrasonography
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26. |||....... 30%  Au SM, Silvera S, Ghiglione S, Mignon A, Jacqmin S: Sudden coma after subclavian catheterization. Ann Fr Anesth Reanim; 2010 Jul-Aug;29(7-8):582-3
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  • We report here a case of bithalamic infarction during subclavian catheterization related to the accidental migration and complete occlusion of an arterial embolism to the Percheron's artery.
  • Percheron's artery is an anatomical variation described in 1977, constituted by a solitary arterial trunk arising from one of the proximal segments of a posterior cerebral artery supplying the paramedian thalami and the rostral midbrain bilaterally.
  • We review here the clinical presentation and discuss the aetiologies of such a cerebral infarction.
  • [MeSH-major] Catheterization, Peripheral / adverse effects. Cerebral Infarction / etiology. Coma / etiology. Intraoperative Complications / etiology. Subclavian Artery. Thalamic Diseases / etiology

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  • [Copyright] Copyright 2010 Elsevier Masson SAS. All rights reserved.
  • (PMID = 20655694.001).
  • [ISSN] 1769-6623
  • [Journal-full-title] Annales françaises d'anesthèsie et de rèanimation
  • [ISO-abbreviation] Ann Fr Anesth Reanim
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] France
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27. |||....... 30%  Magalhães R, Silva MC, Correia M, Bailey T: Are stroke occurrence and outcome related to weather parameters? Results from a population-based study in northern portugal. Cerebrovasc Dis; 2011;32(6):542-51
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Among patients with IS, 21.6% were total anterior circulation infarcts (TACIs), 19.8% partial anterior circulation infarcts (PACIs), 19.5% posterior circulation infarcts (POCIs) and 39.1% were lacunar infarcts (LACIs).
  • The aetiology of IS was large artery atherosclerosis in 6.9%, cardioembolism in 23.3% and small artery occlusion in 35.6%.
  • [MeSH-minor] Aged. Atmospheric Pressure. Confidence Intervals. Embolism / complications. Embolism / epidemiology. Female. Humans. Humidity. Infarction, Posterior Cerebral Artery / complications. Intracranial Hemorrhages / complications. Logistic Models. Male. Middle Aged. Models, Statistical. Poisson Distribution. Population. Portugal / epidemiology. Risk Factors. Seasons. Sex Factors. Stroke, Lacunar / epidemiology. Stroke, Lacunar / mortality. Stroke, Lacunar / therapy. Temperature. Tomography, X-Ray Computed. Treatment Outcome

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  • [Copyright] Copyright © 2011 S. Karger AG, Basel.
  • (PMID = 22104569.001).
  • [ISSN] 1421-9786
  • [Journal-full-title] Cerebrovascular diseases (Basel, Switzerland)
  • [ISO-abbreviation] Cerebrovasc. Dis.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Switzerland
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28. |||....... 29%  Feurer R, Sadikovic S, Esposito L, Schwarze J, Bockelbrink A, Hemmer B, Sander D, Poppert H: Lesion patterns in patients with cryptogenic stroke with and without right-to-left-shunt. Eur J Neurol; 2009 Oct;16(10):1077-82
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  • BACKGROUND AND PURPOSE: Despite numerous studies, the role of patent foramen ovale (PFO) as a risk factor for stroke due to paradoxical embolism is still controversial.
  • METHODS: The records of 486 patients with diagnosis of cerebral ischaemia were reviewed.
  • Affected vascular territories were divided into anterior cerebral artery, middle cerebral artery, vertebrobasilar artery system including posterior cerebral artery, brain stem and cerebellar stroke, and strokes occurring in more than one territory.
  • CONCLUSION: We found no association between an ischaemic lesion pattern that is considered as being typical for stroke due to cardiac embolism and the existence of PFO.
  • Therefore, our findings do not provide any support for the common theory of paradoxical embolism as a major cause of stroke in PFO carriers.
  • [MeSH-major] Brain / blood supply. Brain / physiopathology. Brain Ischemia / etiology. Embolism, Paradoxical / complications. Foramen Ovale, Patent / complications

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  • [CommentIn] Eur J Neurol. 2009 Oct;16(10):1071-2 [19538220.001]
  • (PMID = 19486130.001).
  • [ISSN] 1468-1331
  • [Journal-full-title] European journal of neurology : the official journal of the European Federation of Neurological Societies
  • [ISO-abbreviation] Eur. J. Neurol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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29. |||....... 29%  Tran H, Yonas H: Small carotid thrombus and minimal stenosis causing repeated embolic strokes. J Neuroimaging; 2011 Jul;21(3):266-8
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  • The authors report a previously healthy 48-year-old woman, without any risk factors for cerebrovascular events, sustained multiple cerebral infarctions in the right anterior and middle cerebral artery territory.
  • Repeated imaging of the heart and cerebral vessels missed a very small abnormality arising from the posterior wall of the internal carotid artery, until it was diagnosed by computed tomographic angiography.
  • This is problematic because by North American Symptomatic Carotid Endarterectomy Trial (NASCET) criteria, minimal stenosis essentially excludes the carotid artery as an embolic source.
  • Histopathological examination showed an endothelial hyperplasia with organizing thrombus, which on the posterior wall of the internal carotid artery, is likely a hemodynamically induced on top of preexisting atherosclerotic plaque.
  • [MeSH-major] Carotid Artery Thrombosis / complications. Carotid Stenosis / complications. Embolism / etiology. Stroke / etiology
  • [MeSH-minor] Carotid Artery, Internal / pathology. Carotid Artery, Internal / radiography. Carotid Artery, Internal / surgery. Endarterectomy, Carotid. Female. Humans. Middle Aged. Recurrence

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  • [Copyright] Copyright © 2011 by the American Society of Neuroimaging.
  • (PMID = 21332872.001).
  • [ISSN] 1552-6569
  • [Journal-full-title] Journal of neuroimaging : official journal of the American Society of Neuroimaging
  • [ISO-abbreviation] J Neuroimaging
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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30. |||....... 28%  Williams RJ, Howes RJ, Chabda S, Chalder A: Significant neurological presentations in commando trained personnel: case studies and consideration of differential diagnosis. J R Nav Med Serv; 2012;98(2):19-22
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • A subsequent MRI Scan demonstrated ischaemic changes in the territory of his right posterior cerebral artery.
  • [MeSH-minor] Adult. Diagnosis, Differential. Embolism, Paradoxical / complications. Endovascular Procedures. Humans. Male. Stroke / etiology

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  • (PMID = 22970641.001).
  • [ISSN] 0035-9033
  • [Journal-full-title] Journal of the Royal Naval Medical Service
  • [ISO-abbreviation] J R Nav Med Serv
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
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31. |||....... 28%  Novy J: Spinal cord syndromes. Front Neurol Neurosci; 2012;30:195-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Spinal cord infarction is much rarer than cerebral stroke, but its early recognition is important as it may signify serious aortic conditions.
  • The most frequent type is anterior spinal artery syndrome, presenting with bilateral weakness (usually paraparesis), impairment of spinothalamic sensation and preservation of deep sensation.
  • More rarely, posterior infarcts sparing spinothalamic sensation but involving lemniscal sensation may be encountered.
  • Other rarer forms of spinal ischemia also include spinal TIAs, venous infarction, fibrocartilaginous embolism and decompression sickness.

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  • [Copyright] Copyright © 2012 S. Karger AG, Basel.
  • (PMID = 22377894.001).
  • [ISSN] 1662-2804
  • [Journal-full-title] Frontiers of neurology and neuroscience
  • [ISO-abbreviation] Front Neurol Neurosci
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] Switzerland
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32. |||....... 28%  Cho YD, Lee JY, Seo JH, Kang HS, Kim JE, Jung KH, Han MH: Intra-arterial tirofiban infusion for thromboembolic complication during coil embolization of ruptured intracranial aneurysms. Eur J Radiol; 2012 Oct;81(10):2833-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • The anterior communicating artery was the most common site (n=13), followed by the middle cerebral artery (n=9) and the posterior communicating artery (n=7).
  • Thromboemboli-related cerebral infarction developed in eight patients, and only two patients remained infarction related disabilities.
  • [MeSH-major] Aneurysm, Ruptured / surgery. Embolization, Therapeutic / statistics & numerical data. Intracranial Aneurysm / surgery. Intracranial Embolism / drug therapy. Postoperative Complications / drug therapy. Tyrosine / analogs & derivatives

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  • [Copyright] Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.
  • (PMID = 22683194.001).
  • [ISSN] 1872-7727
  • [Journal-full-title] European journal of radiology
  • [ISO-abbreviation] Eur J Radiol
  • [Language] eng
  • [Publication-type] Clinical Trial; Journal Article
  • [Publication-country] Ireland
  • [Chemical-registry-number] 0 / Fibrinolytic Agents; 144494-65-5 / tirofiban; 42HK56048U / Tyrosine
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33. |||....... 28%  Kotelis D, Bischoff MS, Jobst B, von Tengg-Kobligk H, Hinz U, Geisbüsch P, Böckler D: Morphological risk factors of stroke during thoracic endovascular aortic repair. Langenbecks Arch Surg; 2012 Dec;397(8):1267-73
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  • Further parameters included in the univariate analysis were age, gender, urgency of repair, duration of procedure, adenosine-induced cardiac arrest or rapid pacing, proximal landing zone, left subclavian artery (LSA) coverage, and number of stent grafts.
  • In eight patients, strokes were located in the left cerebral hemisphere (seven of them in the anterior and one in the posterior circulation).
  • Four stroke patients (one in the left posterior circulation) underwent LSA coverage without revascularization.
  • [MeSH-major] Aorta, Thoracic / surgery. Endovascular Procedures / adverse effects. Intracranial Embolism / etiology. Stroke / etiology

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  • (PMID = 22956054.001).
  • [ISSN] 1435-2451
  • [Journal-full-title] Langenbeck's archives of surgery / Deutsche Gesellschaft für Chirurgie
  • [ISO-abbreviation] Langenbecks Arch Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
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34. |||....... 28%  Culp WC, Woods SD, Brown AT, Lowery JD, Hennings LJ, Skinner RD, Borrelli MJ, Roberson PK: Three variations in rabbit angiographic stroke models. J Neurosci Methods; 2013 Jan 30;212(2):322-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • MATERIALS AND METHODS: New Zealand White rabbits (N=151) received angiographic access to the internal carotid artery (ICA) from a femoral approach.
  • Overall NAS (including posterior vessel occlusions) were positively correlated to infarct volume percent measurements in the fresh clot (r=0.50), aged clot (r=0.65) and microsphere (r=0.62) models (p<0.001).
  • [MeSH-major] Cerebral Angiography / methods. Disease Models, Animal. Stroke / pathology. Stroke / radiography
  • [MeSH-minor] Animals. Female. Intracranial Embolism / complications. Intracranial Embolism / radiography. Male. Rabbits

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  • [Copyright] Copyright © 2012 Elsevier B.V. All rights reserved.
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  • (PMID = 23142182.001).
  • [ISSN] 1872-678X
  • [Journal-full-title] Journal of neuroscience methods
  • [ISO-abbreviation] J. Neurosci. Methods
  • [Language] eng
  • [Grant] United States / NCRR NIH HHS / RR / 1UL1 RR029884; United States / NCI NIH HHS / CA / R01 CA99178; United States / NHLBI NIH HHS / HL / R01 HL082481; United States / NHLBI NIH HHS / HL / R01 HL082481; United States / NCRR NIH HHS / RR / UL1 RR029884
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
  • [Publication-country] Netherlands
  • [Other-IDs] NLM/ NIHMS428089; NLM/ PMC3563856
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35. |||....... 28%  Schorl M, Engling R: [Serious neurological sequelae of a myocarditis]. Dtsch Med Wochenschr; 2012 Jul;137(27):1401-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • The loss of vision (cortical blindness) had been caused by multiple brain infarctions in the posterior cerebral circulation due to basilary artery occlusion subsequent to cardiogenic embolism.
  • During anticoagulation with heparin and antiplatelet drugs a large, space-occupying intracranial hemorrhage occurred in a posterior cerebral artery infarction.

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  • [Copyright] © Georg Thieme Verlag KG Stuttgart · New York.
  • (PMID = 22736181.001).
  • [ISSN] 1439-4413
  • [Journal-full-title] Deutsche medizinische Wochenschrift (1946)
  • [ISO-abbreviation] Dtsch. Med. Wochenschr.
  • [Language] ger
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Germany
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36. |||....... 28%  Decavel P, Vuillier F, Moulin T: Lenticulostriate infarction. Front Neurol Neurosci; 2012;30:115-9
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  • Lenticulostriate infarcts result from ischemia within the territory supplied by the deep perforating branches of the middle cerebral artery (MCA).
  • They are too often associated with infarctions of the deep perforating branches of the internal carotid artery.
  • The principal mechanism for lenticulostriate infarction seems to be an embolism of cardiac origin.
  • The prognosis is dependent primarily on the intensity of damage to the upper part of the posterior limb of the internal capsule.

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  • [Copyright] Copyright © 2012 S. Karger AG, Basel.
  • (PMID = 22377876.001).
  • [ISSN] 1662-2804
  • [Journal-full-title] Frontiers of neurology and neuroscience
  • [ISO-abbreviation] Front Neurol Neurosci
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] Switzerland
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37. |||....... 28%  Yonekawa Y: [Operative neurosurgery: personal view and historical backgrounds. 6. Positioning, instruments]. No Shinkei Geka; 2010 Apr;38(4):381-96
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  • Its indication includes lesions not only in the posterior fossa, but in the parieto-occipital region and in the cervico-thoracal region down to the Th5.
  • Basic knowledge of prevention of air embolism was pointed out: knowledge of usual anatomical entrance sites of the air (emissary veins, diploic veins, veins entering into the venous sinuses, venous plexus around the craniocervical junction etc.
  • Special mention was made about the patent foramen ovale as a risk of air embolism.
  • Advantages of the sitting position in the performance of supracerebellar infratentorial/transtentorial SCIT/SCTT approach and transvertebralis dural ring approach TVDRA were emphasized and the use of linear incision was stressed at the time of performance of all these surgeries including the posterior circulation revascularization, occipital artery-posterior cerebral artery/superior cerebellar artery OA-PCA/SCA bypass and occipital artery-posterior inferior cerebellar artery OA-PICA bypass.

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  • (PMID = 20387581.001).
  • [ISSN] 0301-2603
  • [Journal-full-title] No shinkei geka. Neurological surgery
  • [ISO-abbreviation] No Shinkei Geka
  • [Language] jpn
  • [Publication-type] English Abstract; Journal Article; Review
  • [Publication-country] Japan
  • [Number-of-references] 19
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38. |||....... 25%  Silva CF, Hou SY, Kühn AL, Whitten RH, Wakhloo AK: Double embolic protection during carotid artery stenting with persistent hypoglossal artery. BMJ Case Rep; 2013;2013
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  • [Title] Double embolic protection during carotid artery stenting with persistent hypoglossal artery.
  • A woman presented with 75% stenosis of the right internal carotid artery (ICA) with extension to the origin of a persistent hypoglossal artery (PHA).
  • The PHA is a rare fetal variant of carotid-basilar anastomosis that elevates the risk of ischemia and embolic infarction within the posterior cerebral circulation in patients with carotid disease proximal to the anastomosis.
  • Additionally, a novel treatment approach was employed by stenting and angioplasty while protecting both the anterior and posterior cerebral circulations.
  • [MeSH-major] Angioplasty / methods. Carotid Artery Diseases / complications. Carotid Artery, Internal / pathology. Carotid Stenosis / complications. Embolism / etiology. Stents
  • [MeSH-minor] Basilar Artery / pathology. Basilar Artery / surgery. Carotid Artery, Common / pathology. Carotid Artery, Common / surgery. Cerebrovascular Circulation. Female. Humans. Middle Aged. Risk Factors

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  • (PMID = 23645663.001).
  • [ISSN] 1757-790X
  • [Journal-full-title] BMJ case reports
  • [ISO-abbreviation] BMJ Case Rep
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
  • [Keywords] NOTNLM ; Atherosclerosis / Embolic / Intervention / Stent
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39. |||....... 25%  Nathan ST, Jain V, Lykissas MG, Crawford AH, West CE: Transient cortical blindness as a complication of posterior spinal surgery in a pediatric patient. J Pediatr Orthop B; 2013 Sep;22(5):416-9
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  • [Title] Transient cortical blindness as a complication of posterior spinal surgery in a pediatric patient.
  • Postoperative vision loss after spinal surgery is a well-known but devastating complication that may result from direct ocular ischemia, embolism to the central retinal artery, ischemic optic neuropathy, or occipital cortical ischemia.
  • The occipital cortex is situated in the posterior border zone of the middle and posterior cerebral arteries and is susceptible to ischemic damage.
  • We report an 11-year-old female patient with muscular dystrophy who underwent posterior spinal fusion and instrumentation under hypotensive anesthesia for scoliosis who developed transient cortical blindness.

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  • (PMID = 23407429.001).
  • [ISSN] 1473-5865
  • [Journal-full-title] Journal of pediatric orthopedics. Part B
  • [ISO-abbreviation] J Pediatr Orthop B
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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40. ||........ 17%  Brown A, Woods S, Skinner R, Hatton J, Lowery J, Roberson P, Hennings L, Culp WC: Neurological assessment scores in rabbit embolic stroke models. Open Neurol J; 2013;7:38-43
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  • METHODS: Anesthetized New Zealand White rabbits (N=131, 4-5 kg) received internal carotid artery emboli by angiographic catheter introduced into the femoral artery and occlusions were characterized.
  • Rabbits were evaluated at 24 hours post embolism using the NAS test of 0 (normal) to 10 (death).
  • Occlusionsof the posterior cerebral artery vs. the middle cerebral artery alone produced significantly greater deficit scores at p<0.0001.

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  • (PMID = 24265650.001).
  • [ISSN] 1874-205X
  • [Journal-full-title] The open neurology journal
  • [ISO-abbreviation] Open Neurol J
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Netherlands
  • [Other-IDs] NLM/ PMC3831307
  • [Keywords] NOTNLM ; Animal models / clots / microspheres / neurological evaluation / rabbits / strokes.
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41. ||........ 17%  Tanaka J, Yakushiji Y, Nanri Y, Kajiwara M, Suda K, Hara H: [A case of migraine with aura attenuated by transcatheter closure of atrial septal defect]. Rinsho Shinkeigaku; 2013;53(8):638-41
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  • Brain MRI revealed old infarctions restricted to the posterior circular region.
  • The bubble study on transcranial-color-flow imaging also detected micro-embolic signals at the left vertebral artery and the left middle cerebral artery without Valsalva maneuver.
  • Since paradoxical embolism via ASD was highly suspected and Qp/Qs was more than 1.5, transcatheter closure of ASD using AMPLATZER(®) Septal Occluder was performed.

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  • (PMID = 23965857.001).
  • [ISSN] 1882-0654
  • [Journal-full-title] Rinshō shinkeigaku = Clinical neurology
  • [ISO-abbreviation] Rinsho Shinkeigaku
  • [Language] jpn
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Japan
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42. |......... 9%  Timpone VM, Jesinger RA, Johnson T, Palka P: Answer to last month's radiology case (#40) and images: IED fragment embolism to left posterior cerebral artery. Mil Med; 2009 Oct;174(10):iv-v
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Answer to last month's radiology case (#40) and images: IED fragment embolism to left posterior cerebral artery.
  • [MeSH-major] Blast Injuries / radiography. Cerebral Arteries. Foreign Bodies / radiography. Intracranial Embolism / radiography. Wounds, Penetrating / radiography
  • [MeSH-minor] Cerebral Angiography. Contrast Media. Humans. Male. Tomography, X-Ray Computed. Young Adult

  • MedlinePlus Health Information. consumer health - Foreign Bodies.
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  • (PMID = 19891229.001).
  • [ISSN] 0026-4075
  • [Journal-full-title] Military medicine
  • [ISO-abbreviation] Mil Med
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Contrast Media
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43. |......... 6%  Itabashi R, Mori E, Furui E, Sato S, Yazawa Y, Fujiwara S: Bilateral thalamoperforating arteries arising from the unilateral posterior cerebral artery revealed on 3.0-tesla MR imaging. Clin Neurol Neurosurg; 2012 Jul;114(6):765-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Bilateral thalamoperforating arteries arising from the unilateral posterior cerebral artery revealed on 3.0-tesla MR imaging.
  • [MeSH-major] Posterior Cerebral Artery / abnormalities. Thalamus / abnormalities
  • [MeSH-minor] Adult. Brain Ischemia / etiology. Cerebral Angiography. Cerebral Infarction / etiology. Cerebral Infarction / pathology. Diffusion Magnetic Resonance Imaging. Echocardiography, Transesophageal. Humans. Intracranial Embolism / etiology. Magnetic Resonance Angiography. Magnetic Resonance Imaging. Male. Paresis / etiology. Stroke / etiology. Ultrasonography, Doppler, Transcranial

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  • (PMID = 22261663.001).
  • [ISSN] 1872-6968
  • [Journal-full-title] Clinical neurology and neurosurgery
  • [ISO-abbreviation] Clin Neurol Neurosurg
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Netherlands
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44. |......... 3%  Evans RW, Mitsias PD: Headache at onset of acute cerebral ischemia. Headache; 2009 Jun;49(6):902-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Headache at onset of acute cerebral ischemia.
  • [MeSH-minor] Aged. Female. Humans. Hypertension / complications. Hypertension / physiopathology. Infarction, Posterior Cerebral Artery / complications. Infarction, Posterior Cerebral Artery / pathology. Infarction, Posterior Cerebral Artery / physiopathology. Intracranial Embolism / etiology. Intracranial Embolism / pathology. Intracranial Embolism / physiopathology. Occipital Lobe / blood supply. Occipital Lobe / pathology. Occipital Lobe / physiopathology. Posterior Cerebral Artery / innervation. Posterior Cerebral Artery / physiopathology. Risk Factors. Tomography, X-Ray Computed. Trigeminal Nerve / anatomy & histology. Trigeminal Nerve / physiopathology. Visual Cortex / blood supply. Visual Cortex / pathology. Visual Cortex / physiopathology. Visual Pathways / blood supply. Visual Pathways / pathology. Visual Pathways / physiopathology

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  • (PMID = 19545252.001).
  • [ISSN] 1526-4610
  • [Journal-full-title] Headache
  • [ISO-abbreviation] Headache
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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2. Definitions


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