Marinkovic S V, Kovacevic M S, Kostic V S
Stroke. 1984 Mar-Apr;15(2):366-70. doi: 10.1161/01.str.15.2.366.
We examined a patient who had signs of a cerebral hemisphere lesion: right hemiparesis, facial weakness, right hemianopsy, acustico-mnestic dysphasia, "empty speech," acalculia, visuo-spatial agnosia and constructional apraxia, but without changes in consciousness. Taking into account clinical signs, computed tomography and carotid angiography findings, we concluded that our patient had an infarction zone in the left temporo-parieto-occipital region, as a consequence of the isolated angular gyri artery (ANG) occlusion. Some clinical signs were a direct effect of the ANG's occlusion. Namely, this artery supplies the cortical regions of great functional significance: the planum polare and temporale, the transverse temporal gyri, the superior and middle temporal gyri, the angular and supramarginal gyri, as well as the superior, middle and inferior occipital gyri. But the other symptoms and signs could be explained by the pathophysiological effect of the cerebral edema on regions supplied by the non-occluded branches of the middle cerebral artery.
右侧偏瘫、面部无力、右侧偏盲、听觉记忆性失语、“空洞言语”、失算症、视觉空间失认症和结构性失用症，但意识无改变。综合临床体征、计算机断层扫描和颈动脉血管造影结果，我们得出结论，患者左侧颞顶枕区存在梗死灶，这是由于孤立的角回动脉（ANG）闭塞所致。一些临床体征是ANG闭塞的直接影响。也就是说，该动脉供应具有重要功能意义的皮质区域：颞极平面和颞叶、颞横回、颞上回和颞中回、角回和缘上回，以及枕上回、枕中回和枕下回。但其他症状和体征可由脑水肿对大脑中动脉未闭塞分支所供应区域的病理生理影响来解释。
