Occlusive Disease of the Middle Cerebral Artery

Author

L. Caplan
V. Babikian
C. Helgason
D. (Daniel) B. Hier, Missouri University of Science and TechnologyFollow
D. DeWitt
D. Patel
R. Stein

Abstract

We Studied 20 Patients with Severe Occlusive Disease of the Mainstem Middle Cerebral Artery (MCA) or its Major Division Branches, and 25 Patients with Internal Carotid Artery (IC A) Disease. MCA Disease Patients Were More Often Black, Female, Younger, and Had Fewer TIAs Than the ICA Disease Patients. Neurologic Signs in Patients with MCA Disease Evolved Progressively during Days to Weeks, Whereas ICA Disease Patients More Often Had an Acute Onset of Nonprogressive Deficits. CT Commonly Showed Restricted Subcortical or Wedge-Shaped Infarcts in MCA Disease Patients. All MCA Disease Patients Had Stroke, But 40% of ICA Disease Patients Had No Infarction. MCA Lesions Usually Affected the Mainstem MCA or its Major Superior Division. Patients with MCA Disease Seldom Had Recurrent Ischemia in the Same Vascular Territory as the Stroke and Had a Low Incidence of Subsequent Cardiac Death. © 1985 American Academy of Neurology.

Recommended Citation

L. Caplan et al., "Occlusive Disease of the Middle Cerebral Artery," Neurology, vol. 35, no. 7, pp. 975 - 982, Lippincott, Williams & Wilkins; American Academy of Neurology (AAN), Jan 1985.

The definitive version is available at https://doi.org/10.1212/wnl.35.7.975

Department(s)

Chemistry

Comments

National Institute of Neurological Disorders and Stroke, Grant N01NS022399

International Standard Serial Number (ISSN)

1526-632X; 0028-3878

Document Type

Article - Journal

Document Version

Citation

File Type

text

Language(s)

English

Rights

© 2023 Lippincott, Williams & Wilkins; American Academy of Neurology (AAN), All rights reserved.

Publication Date

01 Jan 1985

PubMed ID

4010964