Abstract

We report two patients with large subcortical hemispheric infarctions, located in areas prone to the development of lacunes, who had occlusion of the middle cerebral artery demonstrated by arteriography. The cortical vessels were perfused by leptomeningeal collaterals. We suggest that large vessel arterial disease should be considered as a possible etiology of large subcortical infarctions and propose that the term lacune should not be used in cases in which neither the size nor the pathophysiologic mechanism of the lesion conform to C.M. Fisher's description.

Keywords

MedicineOcclusionLesionInfarctionPathophysiologyEtiologyStroke (engine)Middle cerebral arteryCardiologyCerebral infarctionInternal medicineRadiologyIschemiaPathologyMyocardial infarction

Affiliated Institutions

Related Publications

Publication Info

Year
1983
Type
article
Volume
14
Issue
6
Pages
948-952
Citations
61
Access
Closed

External Links

Social Impact

Social media, news, blog, policy document mentions

Citation Metrics

61
OpenAlex

Cite This

Harold P. Adams, H Damasio, S. F. Putman et al. (1983). Middle cerebral artery occlusion as a cause of isolated subcortical infarction.. Stroke , 14 (6) , 948-952. https://doi.org/10.1161/01.str.14.6.948

Identifiers

DOI
10.1161/01.str.14.6.948