Abstract:
:Using clinical presentation, angiography, computed tomography, and nuclear magnetic resonance imaging, 7 patients were identified who had strictly unilateral hemispheric infarction and unilateral cerebrovascular disease. In 6, cerebral blood flow measured by fluorine-18-fluoromethane inhalation and positron emission tomography was reduced in the contralateral hemisphere (p less than 0.05). Multiple regression analysis demonstrated a high correlation between contralateral flow reduction and the degree of flow impairment in the infarcted area (r = 0.941, p = 0.0014) but not with age, risk factor profile, blood pressure, PCO2, hematocrit, or duration of stroke. We conclude that transhemispheric diaschisis best explains the contralateral flow reduction seen in supratentorial ischemic stroke.
journal_name
Strokejournal_title
Strokeauthors
Lagrèze HL,Levine RL,Pedula KL,Nickles RJ,Sunderland JS,Rowe BRdoi
10.1161/01.str.18.5.882subject
Has Abstractpub_date
1987-09-01 00:00:00pages
882-6issue
5eissn
0039-2499issn
1524-4628journal_volume
18pub_type
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