Anterior choroidal artery infarction: a clinical, etiologic and prognostic study

Acta Neurologica Scandinavica
E PalomerasM Floriach

Abstract

To analyze the clinical, etiologic and prognostic profile of anterior choroidal artery (AChA) infarcts. 42 consecutive patients with AChA infarction were included. Symptoms, etiology and scores on neurological and functional scales were analyzed on admission, discharge and at 3-month follow-up. A comparative study was performed between deep (n = 23) and deep + superficial (n = 19) infarcts. Lacunar syndrome was present in 83.3% of patients. Etiology was large-vessel disease in 38.1% and cryptogenic in 38.1%. Ten patients had a National Institute of Health Stroke Scale score >7 on admission. At discharge, 45.3% had an modified Rankin Scale >2 (35.7% after 3 months). Infarcts involving superficial territory were more severe at admission (P = 0.034) and were associated with a worse functional status at discharge (P = 0.0008). AChA infarcts usually present with lacunar syndrome, although they are often not lacunar infarcts. At discharge, almost half of the patients are dependent in their activities of daily living, and most remain so at 3-month follow-up. Infarcts involving superficial territory are associated with worse prognosis.

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Citations

Aug 5, 2014·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Nicolas ChaussonDidier Smadja
Oct 6, 2010·World Neurosurgery·Martin LeheckaJuha Hernesniemi
Jan 9, 2013·International Journal of Stroke : Official Journal of the International Stroke Society·Sabine DerflingerHeinrich J Audebert
Dec 3, 2014·Neuroscience·S PuentesK Seki
Jul 13, 2017·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Satoshi TsutsumiYukimasa Yasumoto
May 14, 2020·BMJ Case Reports·Azam S TollaAudrey K Sanders
Jun 20, 2020·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Chunli LuDonglin Lu

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