A 23-year-old woman without demonstrable risk factors for cerebral hemorrhage was admitted after the acute onset of hemiparesis of the left side. A computed tomography scan showed a small right thalamic hemorrhage. Cerebral angiography was normal, and she was managed conservatively. Three months after the original ictus the patient developed severe tremor on the left side. Angiography again revealed no abnormalities and the tremor was successfully treated with a stereotaxic thalamic lesion superimposed on the area of the hemorrhage. The patient's disease, its treatment, and the current knowledge of the anatomy and physiology of movement disorders are reviewed.

Carotid occlusive disease may occur at the base of the skull and siphon without evidence of atheroma in the neck. Careful search for lesions in this location should be undertaken in any patients with TIAs or neurologic deficit when the extracranial carotid arteries appear normal. Unilateral frontotemporal headache may be an early symptom of stenosis in this location. Inaccessible lesions are often bilateral, although the symptoms may be unilateral. Superficial temporal-middle cerebral artery bypass on the symptomatic side affords relief of symptoms. Bypass on the contralateral side should be considered when and if symptoms subsequently develop related to the lesion on that side. The configuration of a carotid thrombus may enable one to determine that it is a retrograde rather than antegrade occlusion and hence is not amenable to endarterectomy, even in the acute situation. The use of a Fogarty catheter in such a setting would be ill-advised and potentially hazardous. Current experience suggests that risk of subsequent stroke is reduced after EC-IC bypass operation.

HomeStrokeVol. 12, No. 2Carotid occlusive disease: experience with 3 patients. Free AccessAbstractPDF/EPUBAboutView PDFSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessAbstractPDF/EPUBCarotid occlusive disease: experience with 3 patients. J G Galbraith J G GalbraithJ G Galbraith Originally published4 Apr 2018https://doi.org/10.1161/str.12.2.255bStroke. 1981;12:255–256"Carotid occlusive disease: experience with 3 patients.." Stroke, 12(2), pp. 255–256 Previous Back to top Next FiguresReferencesRelatedDetails March 1981Vol 12, Issue 2 Advertisement Article InformationMetrics Copyright © 1981 by American Heart Associationhttps://doi.org/10.1161/str.12.2.255bPMID: 7233477 Originally publishedApril 4, 2018 PDF download Advertisement

Inadequate oxygen delivery to brain tissue represents an important component of the deleterious effect of raised intracranial pressure (ICP). In an effort to develop techniques for direct assessment of brain tissue oxygenation, a ventricular catheter has been constructed which allows simultaneous continuous measurement of ICP and focal oxygen availability. A description of the device and initial experience with it are presented.

This paper reports 8 patients in whom pituitary tumor was decreased in size by the use of stereotaxic application of freezing of tissues. The results seemingly are satisfactory.