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Confusional state and cerebral infarcts.

E García-Albea1

  • 1Neurology Service, Hospital 'Primero de Octubre', Madrid, Spain.

Postgraduate Medical Journal
|May 1, 1989
PubMed
Summary
This summary is machine-generated.

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This study investigated confusional states in patients with cerebral infarction, finding that temporo-occipital cortex lesions and optic pathway alterations are common. These factors may explain cognitive deficits observed in these patients.

Area of Science:

  • Neurology
  • Neuroscience
  • Radiology

Background:

  • Confusional states can be a symptom of neurological damage.
  • Cerebral infarction, or stroke, affects brain tissue and function.
  • Understanding the link between infarction location and cognitive symptoms is crucial.

Purpose of the Study:

  • To investigate the relationship between cerebral infarction and confusional states.
  • To identify common locations of infarction and associated neurological alterations.
  • To explore potential explanations for confusional states in affected patients.

Main Methods:

  • Study included thirteen patients diagnosed with confusional state and cerebral infarction.
  • Computed tomographic (CT) scans were used to assess infarction.

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  • Optic pathway alterations were also evaluated.
  • Main Results:

    • Seven patients exhibited optic pathway alterations.
    • Ten patients had single cerebral infarctions, primarily in the temporo-occipital associative cortex.
    • Two patients had multiple infarctions; one patient had a normal CT scan.

    Conclusions:

    • Cerebral infarction, particularly in the temporo-occipital cortex, is associated with confusional states.
    • Optic pathway alterations may also contribute to these cognitive deficits.
    • Reduced selective attention, release hallucinations, and amnesic syndrome are potential explanatory factors for the observed confusional states.