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Verfasst von:Förster, Alex [VerfasserIn]   i
 Al-Zghloul, Mansour [VerfasserIn]   i
 Eisele, Philipp [VerfasserIn]   i
 Wenz, Holger [VerfasserIn]   i
 Böhme, Johannes [VerfasserIn]   i
 Groden, Christoph [VerfasserIn]   i
 Neumaier-Probst, Eva [VerfasserIn]   i
Titel:Hippocampal infarction
Titelzusatz:Identification of three new types
Verf.angabe:A. Förster, M. Al-Zghloul, P. Eisele, H. Wenz, J. Böhme, C. Groden, E. Neumaier-Probst
Jahr:2018
Umfang:5 S.
Illustrationen:Illustrationen
Fussnoten:Available online: 18 September 2017 ; Gesehen am 20.04.2018
Titel Quelle:Enthalten in: Journal of neuroradiology
Ort Quelle:Issy-les-Moulineaux : Elsevier Masson, 1995
Jahr Quelle:2018
Band/Heft Quelle:45(2018), 1, Seite 1-5
ISSN Quelle:1773-0406
Abstract:Background and purpose: Hippocampal infarction (HI) is common but yet still not comprehensively studied. In the present study, we aimed to identify novel HI patterns and to describe additional ischemic lesions outside the Hippocampus to draw conclusions regarding the underlying vessel occlusion. Methods: In 222 patients (mean age 69.9 (±13.6) years; 129 (58.1%) male, 93 (41.9%) female) with HI, diffusion-weighted images were analyzed with emphasis on HI patterns and associated ischemic lesions outside the hippocampus. HI were classified as type 1 (complete), 2 (lateral), 3 (dorsal), and 4 (circumscribed). Further possible HI patterns were defined and classified as type (ventral), 6 (ventrolateral), and 7 (dorsolateral). Results: Unilateral HI was found in 218 (98.2%) patients. In these, type 5 and 6 were identified in 5 (2.3%) patients, and type 7 in 8 (3.7%) patients respectively. Type 1 was found in 62 (28.4%), 2 in 53 (24.3%), 3 in 57 (26.1%), and 4 in 28 (12.8%) patients. Further ischemic lesions were found in the territory of the anterior cerebral artery (3.6%), middle cerebral artery (14.9%), anterior choroidal artery (AChA) (7.2%), posterior cerebral artery (89.6%), and in the brainstem (6.3%) and cerebellum (20.3%). Type 5 and 6 were significantly associated with acute ischemic lesions in the AChA territory (6/10 (60%) vs. 11/200 (5.5%), P<0.001). Conclusions: We identified three novel HI types. Probably, type 5 and 6 can be attributed to occlusion of the AChA. Overall, these HI types are rare, possibly due to a better collateralization in the case of AChA occlusion.
DOI:doi:10.1016/j.neurad.2017.08.003
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: http://dx.doi.org/10.1016/j.neurad.2017.08.003
 Volltext: http://www.sciencedirect.com/science/article/pii/S0150986117303085
 DOI: https://doi.org/10.1016/j.neurad.2017.08.003
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:AChA
 Hippocampal infarction
 Novel types
 PCA
K10plus-PPN:1572199881
Verknüpfungen:→ Zeitschrift

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