Pneumoencephalographic Findings After Occlusion of the Carotid or Middle Cerebral Arteries

Publisher Website
Google Scholar
Abstract
In 6 cases with occlusion of the carotid or middle cerebral artery, pneumoencephalography revealed atrophy around the cella media of the ipsi-lateral side, most often associated with atrophy in other regions: around the 3rd ventricle, the temporal and frontal horn, the area bordering the Sylvian fissure, and, to some extent, in the con- tralateral hemisphere. The predominant focal change was atrophy of the upper part of the caudate nucleus, which was found to be medially concave, the septum caudate line being from 21 to 24 mm. This localized atrophy, isolated or associated with other apopletic lesions, is presumably due to circulatory insufficiency in the lenticulostriatal arteries. In 1 case of occlusion of the carotid artery a repeat pneumo-encephalography after 9 weeks disclosed an increase of the septum caudate line from 17 to 21 mm. In 1 case of occlusion of the middle cerebral artery, the collateral circulation seemed excellent and the septum caudate line was only 17 mm. The best results by surgery and rehabilitation are expected when treatment is started before the development of the severe degree of caudate nucleus atrophy, which is associated with a length of the septum caudate line of 21-24 mm.

This publication has 0 references indexed in Scilit: