Neonatal infarction within basal cerebral vein territory

Hemicraniectomy for Massive Middle Cerebral Artery Territory Infarction

Background and Purpose—Hemicraniectomy and durotomy have been proposed in many small series to relieve intracranial hypertension and tissue shifts in patients with large hemispheric infarcts, thereby preventing death from herniation. Our objective was to review the literature to identify patients most likely to benefit from hemicraniectomy. Methods—All available individual cases from the Englis...

Involuntary movements after anterior cerebral artery territory infarction.

BACKGROUND AND PURPOSE Patients with anterior cerebral artery territory infarction presenting with involuntary movements have rarely been described in the literature. CASE DESCRIPTIONS The author reports 9 such patients: 3 with asterixis, 5 with hemiparkinsonism (tremor, rigidity, hypokinesia), and 1 with both. Asterixis developed in the acute stage in patients with minimal arm weakness, wher...

Bilateral infarction in the anterior cerebral artery vascular territory.

Decompressive surgery for malignant middle cerebral artery territory infarction

A case of complete middle cerebral artery territory infarction associated with some haemorrhagic transformation at 36 hours post onset, and at one day after decompressive surgery. Note the effect of surgery on midline shift and ventricular compression. The patient survived with a Modifi ed Rankin Score of 3. But would the patient have done as well without surgery? Here we present the two opposi...

Can Doppler sonography be used to diagnose neonatal cerebral infarction caused by portal vein thrombosis.

Neonatal cerebral infarction is a serious and disabling condition. It is extremely rare if it occurs in association with portal vein thrombosis. We are reporting 2 cases of neonatal cerebral infarction with this etiology. The unique mechanism of cerebral infarction will be discussed. We propose that in the absence of any identifiable cause for the cerebral infarction, portal vein thrombosis sho...