Skip to main content
SpringerLink
Log in

Infarction and circulation in cerebrum

Effect of recanalization and/or collateral circulation on the lesion and prognosis

  • Neuroradiology of Vascular and Atrophic Lesions in the Geriatric Age
  • Published:
Neuroradiology Aims and scope Submit manuscript

Summary

Findings of computed tomography (CT) and angiography in supratentorial cerebral infarction associated with complete stroke were compared with regard to prognosis. It was found that the extent of low-density areas on CT was perfectly in accordance with the areas of occluded arteries on angiograms. However, the lowdensity areas on CT were always smaller than the areas involved angiographically when early recanalization and/or collateral circulation were carried out within 2 to 3 days of onset. It was also found that smaller low-density areas only had favorable effect. We concluded that the prognosis was better with early recanalization and/or collateral circulation, depsite the general acceptance of its poor prognostic implication.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Allock, J. M.: Occlusion of the middle cerebral artery. Serial angiography as guide to conservative therapy. J. Neurosurg. 27, 353–363 (1967)

    PubMed  Google Scholar 

  2. Burrows, E. H., Lascelles, R. G.: The contribution of radiology to the diagnosis and prognosis of occlusions of the middle cerebral artery and its branches. Br. J. Radiol. 38, 481–493 (1965)

    Google Scholar 

  3. Dalal, P. M., Shah, P. M., Steth, S. C.: Cerebral embolism: Angiographic observations on spontaneous clot lysis. Lancet 1965 I, 61–64

    Google Scholar 

  4. Davis, K. R., Taveras, J. M., New, P. F. J., Schnur, J. A., Roberson, G. H.: Cerebral infarction diagnosis by computed tomography. Am. J. Roentgenol. 124 643–660 (1975)

    Google Scholar 

  5. Ettinger, M. G., Ryan, R. L.: Transient vascular occlusion in acute strokes. Minn. Med. 48, 868–866 (1965)

    Google Scholar 

  6. Hollin, S. A., Silverstein, A.: Transient occlusion of the middle cerebral artery. JAMA 194, 243–247 (1965)

    PubMed  Google Scholar 

  7. Huk, W., Schiefer, W.: Computerized tomography (Siretom) of acute cerebrovascular events. In: Cranial computed tomography, pp. 264–272 (eds. W. Lanksch, E. Kazner). Berlin-Heidelberg-New York: Springer 1976

    Google Scholar 

  8. Irino, T., Taneda, M., Minami, T.: Recurrent occlusion of the middle cerebral artery followed by recanalization. Jpn. J. Coll. Angiol. 17, 161–164 (1977)

    Google Scholar 

  9. Irino, T., Taneda, M., Minami, T.: Angiographic manifestations in postrecanalized cerebral infarction. Neurology 27, 471–475 (1977)

    PubMed  Google Scholar 

  10. Irino, T.: Review of the clinical reports about recanalization of occluded cerebral artery. Brain Nerve 30, 135–151 (1978)

    PubMed  Google Scholar 

  11. Leherer, G. M.: Arteriographic demonstration of collateral circulation in cerebrovascular disease. Neurology 8, 27–32 (1958)

    PubMed  Google Scholar 

  12. Yamaguchi, K., Uemura, K., Takahashi, H.: An angiographic study in cerebral infarction, especially related to the timing of examination. Acta Radiol. Jpn. 31, 1090–1099 (1972)

    Google Scholar 

  13. Yarnell, P. R., Earnest, M. P., Sanders, B., Burdick, D.: The hot stlode and transient vascular occlusions. Stroke 6, 517–520 (1975)

    PubMed  Google Scholar 

  14. Zatz, I. H., Ianonne, A. M., Eckman, F. B., Hecker, S. P.: Observations concerning intracerebral vascular occlusions. Neurology 15, 389–401 (1965)

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neuroradiology, Neurological Institute, Tokyo Women's Medical College, Tokyo, Japan

    N. Kobayashi & Y. Saito

Authors
  1. N. Kobayashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Y. Saito
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kobayashi, N., Saito, Y. Infarction and circulation in cerebrum. Neuroradiology 16, 108–112 (1978). https://doi.org/10.1007/BF00395220

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00395220

Keywords

Search

Navigation