Occipital infarction with hemianopsia from carotid occlusive disease.
Extracranial internal carotid artery occlusive disease usually produces stroke in the middle cerebral artery territory or the border zone between the middle and anterior cerebral arteries. It is unusual for occipital infarction in the posterior cerebral artery territory to be caused by internal carotid artery disease despite the fact that the posterior cerebral artery may arise directly from the internal carotid artery as an anatomic variation. We describe a patient with a fetal posterior cerebral artery originating from the internal carotid artery, and the initial manifestation of his extracranial internal carotid artery occlusive disease was hemianopsia from occipital infarction.
Pessin
M S
MS
Department of Neurology, Tufts-New England Medical Center, Boston, Massachusetts 02111.
Kwan
E S
ES
Scott
R M
RM
Hedges
T R
TR
D000368:Aged; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D002340:Carotid Artery Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D003251:Constriction, Pathologic; D006423:Hemianopsia / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009778:Occipital Lobe; D010547:Persistent Fetal Circulation Syndrome / Q000150:complications; D014057:Tomography, X-Ray Computed