Right-to-left shunts may be not uncommon cause of TIA in Japan

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Right-to-left shunts may be not uncommon cause of TIA in Japan.

BACKGROUND AND PURPOSE Although 30% to 60% of transient ischemic attacks (TIAs) have embolic sources, the etiology of the remaining TIAs is unknown. Right-to-left shunt (RLS) is one of the most important etiologies of cryptogenic stroke. The aim of this study was to determine whether RLS is related to transient ischemic attack (TIA) of unknown etiology. METHODS We performed transesophageal ec...

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Left-to-Right Shunts

Contrary to the opinion of French pediatrician HenriLouis that isolated ventricular septal defects (VSDs) are universally well tolerated, the subsequent discoveries of Eisenmenger, Abbott, Wood, and others have taught us that the prognosis of left-to-right shunt lesions is not always benign. After more than a century of research, as pediatric cardiologists and congenital heart surgeons, we clai...

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The Identification of Right-to-Left Shunts

SEVERAL METHODS are now used in conjunction with cardiac catheterization for localizing and quantitating right-to-left shunts. These include the recording of indicator-dye concentration curves after selective intracardiac dye injection,14 the external recording of radioactivity following injection of radioactive materials,5 6 and the use of cardioangiograms or cineangiograms to picture the cour...

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When the left brain is not right the right brain may be left: report of personal experience of occipital hemianopia.

OBJECTIVES To make a personal report of a hemianopia due to an occipital infarct, sustained by a professor of neurology. METHODS Verbatim observation of neurological phenomena recorded during the acute illness. RESULTS Hemianopia, visual hallucinations, and non-occipital deficits without extraoccipital lesions on MRI, are described and discussed. CONCLUSIONS Hemianopia, due to an occipita...

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Radionuclide quantitation of right-to-left intracardiac shunts in children.

A simple, noninvasive method for measurement of right-to-left intracardiac shunts would enhance the management of patients with congenital heart disease. This study describes application of data processing techniques used previously in dye-indicator curves to data recorded during the initial transit of radioactive bolus through the central circulation. Radionuclide angiocardiograms were perform...

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ژورنال

عنوان ژورنال: Journal of the Neurological Sciences

سال: 2009

ISSN: 0022-510X

DOI: 10.1016/j.jns.2008.09.035