Occlusive Disease of the Middle Cerebral Artery
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.
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
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01 Jan 1985
National Institute of Neurological Disorders and Stroke, Grant N01NS022399