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[Simultaneous supratentorial multiple cerebral infarctions]

C Arquizan1, C Lamy, J L Mas

  • 1Service de Neurologie, Hôpital Sainte-Anne, Paris.

Revue Neurologique
|August 1, 1998
PubMed
Summary
This summary is machine-generated.

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Acute supratentorial multiple infarcts occur in 8.1% of stroke patients. Bilateral infarcts are linked to unusual causes like coagulopathy, while unilateral infarcts may indicate internal carotid artery disease.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Stroke Medicine

Context:

  • Prospective, hospital-based stroke registry analysis.
  • Inclusion of 383 consecutive patients with acute supratentorial infarcts.
  • Distinction between single and multiple infarcts based on computed tomography (CT) imaging.

Purpose:

  • To determine the frequency of acute supratentorial multiple infarcts.
  • To identify clinical and etiological correlates of these infarcts.
  • To compare characteristics of single versus multiple supratentorial infarcts.

Summary:

  • Acute supratentorial multiple infarcts were identified in 8.1% of patients.
  • Bilateral multiple infarcts were associated with younger age and etiological profiles including coagulopathy, systemic disorders, or rare arteriopathies, and cardioembolic sources.

Related Experiment Videos

  • Unilateral multiple infarcts showed associations with ipsilateral internal carotid artery disease or cardioembolism, depending on the affected vascular territories.

    • Impact:

    • Highlights that multiple supratentorial infarcts are not uncommon.
    • Suggests specific etiological workups based on infarct topography (bilateral vs. unilateral).
    • Informs clinical suspicion and diagnostic strategies for acute stroke.