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Mechanism of tuberothalamic infarction

Authors
 J. Kim  ;  H.-Y. Choi  ;  H. S. Nam  ;  J. Y. Lee  ;  J. H. Heo 
Citation
 EUROPEAN JOURNAL OF NEUROLOGY, Vol.15(10) : 1118-1123, 2008 
Journal Title
 EUROPEAN JOURNAL OF NEUROLOGY 
ISSN
 1351-5101 
Issue Date
2008
MeSH
Adult ; Aged ; Aged, 80 and over ; Atherosclerosis/complications ; Basilar Artery/pathology ; Brain Infarction/etiology ; Brain Infarction/physiopathology* ; Carotid Arteries/pathology ; Diagnostic Imaging ; Female ; Heart Diseases/complications ; Humans ; Intracranial Embolism/etiology ; Male ; Middle Aged ; Thalamus/blood supply* ; Thalamus/pathology ; Tuber Cinereum/blood supply* ; Tuber Cinereum/pathology ; Vertebral Artery/pathology
Keywords
brain infarction ; mechanism ; tuberothalamic artery
Abstract
BACKGROUND AND PURPOSE: The tuberothalamic artery (TTA), one of the arteries supplying the paramedian thalamic area, is peculiar because it originates from the posterior communicating artery (p-comA), which connects the vertebrobasilar and carotid systems. METHODS: From Stroke Registry, 23 consecutive patients with an acute infarction involving the TTA were selected. We investigated the mechanism of TTA infarction. RESULTS: Fourteen of 23 patients (61%) had coexisting infarctions outside the TTA territory (carotid in three, vertebrobasilar in seven, and both carotid and vertebrobasilar arteries in four patients). Coexisting lesions were most common in the posterior thalamoperforating arterial territory (seven patients). Eleven out of 14 patients (79%) with coexisting lesions had embolic sources from the heart or proximal atherosclerotic arteries, and cardioembolism was the most common mechanism. However, eight of the nine patients with isolated tuberothalamic lesions were classified as small vessel occlusions. More patients with embolic sources had visible p-comA or fetal-type posterior cerebral arteries. The vertebrobasilar arterial system played a more dominant role in developing tuberothalamic infarction than the carotid arterial system. CONCLUSIONS: Isolated TTA infarctions are rare and mostly because of small vessel occlusion. Patients with coexisting infarctions outside TTA territory usually have an embolic source, predominantly vertebral artery atherosclerosis.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1468-1331.2008.02269.x/abstract
DOI
10.1111/j.1468-1331.2008.02269.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Nam, Hyo Suk(남효석) ORCID logo https://orcid.org/0000-0002-4415-3995
Lee, Jong Yun(이종윤)
Choi, Hye Yoen(최혜연)
Heo, Ji Hoe(허지회) ORCID logo https://orcid.org/0000-0001-9898-3321
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106634
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