Summary
Eighty patients were studied by angiography within 6 h of an ischaemic stroke. Angiography was carried out with digital equipment and was usually limited to the vascular territory responsible for the neurological deficits. In 12 of 19 patients with internal carotid occlusion, the contralateral side was also studied. The angiographic abnormalities were classified as extracranial, intracranial, and combined extra and intracranial. The data show a high incidence (66%) of occlusive pathology of intracranial arteries, either isolated or associated with a significant presence of a potential embolic source (85%), and a high incidence of carotid occlusions located at the cervical segment (8 of 19). These observations suggest that most strokes are occlusive in origin.
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References
Blackwood W, Hallpike JF, Kocen RS, Mair WPG (1969) Atheromatous disease of the carotid arterial system and embolism from the heart in cerebral infarction: a morbid anatomical study. Brain 92:897–910
Bozzao L, Fantozzi LM, Bastianello S, Bozzao A, Fieschi C (1989) Early collateral blood supply and late parenchymal brain damage in patients with middle cerebral artery occlusion. Stroke (in press)
Compton MR (1976) Pathology of degenerative cerebral arterial disease. In: Ross Russel RW (ed) Cerebral arterial disease. Churchill Livingstone, Edinburgh, pp 40–46
Dalal PM (1965) Cerebral embolism. Angiographic observation on spontaneous clot lysis. Lancet I:61–64
Fieschi C, Bozzao L (1969) Transient embolic occlusion of the MCA cerebral artery and internal carotid arteries in cerebral apoplexy. J Neurol Neurosurg Psychiatry 32:236–240
Fieschi C, Argentino C, Lenzi GL, Sacchetti ML, Toni D, Bozzao L (1989) Clinical and instrumental evaluation of patients with ischemic stroke within the first six hours. J Neurol Sci (in press)
Fisher CM, Gore I, Okabe N, White PD (1965) Atherosclerosis of the carotid and vertebral arteries. J Neuropathol Exp Neurol 24:455–476
Gautier JC (1979) Arterial pathology in cerebral ischemia and infarction. In: Greenhalgh RM, Clifford Rose F (eds) Progress in stroke research. 1. Pitman Medical, London, pp 28–39
Hass WK (1963) A clinical study of cerebrovascular insufficiency. Bull NY Acad Med 39:774–789
Lhermitte F, Gautier JC, Derouesne' C (1970) Nature of occlusions of the MCA cerebral artery. Neurology 20:82–88
Olsen TS, Skriver EB, Herning M (1985) Cause of cerebral infarction in the carotid territory. Its relation to the size and the location of the infarct and to the underlying vascular lesion. Stroke 16:459–466
Saito I, Segawa H, Shiokawa Y, Taniguchi M, Tsutsumi K (1987) Middle cerebral artery occlusion: correlation of computed tomography and angiography with clinical outcome. Stroke 18:863–868
Silverstain A (1965) Arteriography of stroke. II. Factors relating to the normal angiogram. Arch Neurol 13:441–446
Torvik A, Jorgensen L (1964) Thrombotic and embolic occlusion of the carotid arteries in autopsy material. I. Prevalence, location and associated disease. J Neurol Sci 1:24–39
Zatz LM, Iannone AM, Eckman PB, Hacker PS (1965) Observations concerning intracerebral vascular occlusions. Neurology 15:389–401
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Bozzao, L., Fantozzi, L.M., Bastianello, S. et al. Ischaemic supratentorial stroke: angiographic findings in patients examined in the very early phase. J Neurol 236, 340–342 (1989). https://doi.org/10.1007/BF00314376
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DOI: https://doi.org/10.1007/BF00314376