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[Extrapyramidal disorders in ischemic strokes]

Iu S Martynov, A S Tochilovskiĭ

    Zhurnal Nevropatologii I Psikhiatrii Imeni S.S. Korsakova (Moscow, Russia : 1952)
    |January 1, 1981
    PubMed
    Summary
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    This study investigated extrapyramidal disturbances following ischemic cerebral stroke in 52 patients. Findings link specific syndromes to carotid or vertebrobasilar artery involvement, aiding understanding of stroke complications.

    Area of Science:

    • Neurology
    • Clinical Neuroscience
    • Vascular Neurology

    Background:

    • Hypertensive disease and atherosclerosis are major risk factors for ischemic cerebral stroke.
    • Ischemic stroke can lead to complex neurological deficits, including extrapyramidal disturbances.
    • Understanding the relationship between vascular territories and specific syndromes is crucial for patient management.

    Observation:

    • Fifty-two patients with ischemic cerebral stroke, hypertensive disease, and atherosclerosis were evaluated.
    • Electromyographic and pathomorphological examinations were conducted in a subset of patients.
    • Clinical presentations of extrapyramidal disturbances were correlated with affected cerebral vascular basins.

    Findings:

    • Ischemic strokes in the carotid artery basin were associated with contralateral extrapyramidal-pyramid syndrome, homolateral extrapyramidal syndrome, or hyperkinetic syndrome.

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  • Ischemic strokes in the vertebrobasilar basin were linked to extrapyramidal-pyramid-pseudobulbar syndrome or akinetic rigidity syndrome.
  • Comparison with pathoanatomical findings refined understanding of the pathogenetic mechanisms of these disturbances.

    • Implications:

    • The study clarifies the clinical manifestations of extrapyramidal disturbances in ischemic stroke based on vascular territory.
    • Findings contribute to a deeper understanding of the pathophysiology of post-stroke movement disorders.
    • This knowledge can potentially improve diagnostic accuracy and therapeutic strategies for stroke patients with extrapyramidal symptoms.