Preferred involvement of the basal ganglia after lenticulostriate infarction as a possible indicator of different gray and white matter vulnerability.
作者信息
Nagakane Yoshinari, Yamada Kei, Ohara Tomoyuki, Yoshikawa Kenji, Kuriyama Nagato, Takayasu Natsuko, Kasai Takashi, Yuki Natsuko, Nishimura Tsunehiko, Mizuno Toshiki, Nakagawa Masanori
机构信息
Department of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto 602-8566, Japan.
出版信息
Stroke. 2008 Feb;39(2):494-6. doi: 10.1161/STROKEAHA.107.484337. Epub 2008 Jan 3.
BACKGROUND AND PURPOSE
Symptomatic progression is frequently observed in lacunar infarcts. The exact mechanisms of this phenomenon have not yet been clarified.
SUMMARY OF CASES
We report 2 patients with lenticulostriate artery infarcts that presented with skip lesions that were restricted to gray matter. One of the patients subsequently developed symptomatic deterioration; the other experienced no further neurological events.
CONCLUSIONS
A possible mechanism of differential vulnerability to ischemia of gray and white matter is considered. White matter may have a longer therapeutic time window for neuroprotective treatment than gray matter.
Zotero 插件