2010
DOI: 10.1136/bcr.02.2010.2703
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The striatocapsular infarction and its aftermaths

Abstract: Ischaemic stroke syndromes in the vascular territory of middle cerebral artery may have atypical presentation and radiographic findings because of the variable anatomy of that artery. Therefore, misdiagnosis of these syndromes as neoplastic or infectious processes is not uncommon. This case describes a 69-year-old comatose woman who was referred to us as having 'a brain tumour with massive surrounding oedema.' Further work-up revealed that she had a large left-sided lenticular nuclear infarction with some exte… Show more

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Cited by 4 publications
(3 citation statements)
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“…Generally they are divided into medial (having a lumen of 100-200 μ) and lateral (with a lumen of 200-400 μ) groups (15). The putamen, parts of the globus pallidus, body of caudate, claustrum, and anterior and posterior limbs of internal capsules are nourished by the lateral lenticulostriate arteries which 5)stem of the posterior and superior aspect of the main stem of the middle cerebral artery (some minor contribution comes from Heubner’s artery and anterior choroidal arteries) (17). When these arteries are obstructed altogether, they result in the so-called striatocapsular infarction (SCI) which has been defined as a comma-shaped softening in the area of the basal ganglia of at least 3 cm in length and 1 cm in width (5).…”
Section: Discussionmentioning
confidence: 99%
“…Generally they are divided into medial (having a lumen of 100-200 μ) and lateral (with a lumen of 200-400 μ) groups (15). The putamen, parts of the globus pallidus, body of caudate, claustrum, and anterior and posterior limbs of internal capsules are nourished by the lateral lenticulostriate arteries which 5)stem of the posterior and superior aspect of the main stem of the middle cerebral artery (some minor contribution comes from Heubner’s artery and anterior choroidal arteries) (17). When these arteries are obstructed altogether, they result in the so-called striatocapsular infarction (SCI) which has been defined as a comma-shaped softening in the area of the basal ganglia of at least 3 cm in length and 1 cm in width (5).…”
Section: Discussionmentioning
confidence: 99%
“…When the lateral lenticulostriate arteries become blocked, striatocapsular infarction ensures (1)(2)(3)(4). This is defined as a an inverted comma-shaped softening in the area of the basal ganglia of at least 3 cm in length and 1 cm in width (1,2).…”
Section: Discussionmentioning
confidence: 99%
“…However, radiologically, the patient had developed right-sided striatocapsular infarction (SCI), which is defined as a comma-shaped infarction at the basal ganglia area of at least 3 cm in length and 1 cm in width1 as a result of occlusion of the lateral lenticulostriate arteries which stem off the posteriolateral surface of the MCA's main stem 2. The overlying cortical areas are spared; although the maximum ischaemia is found at the depth of the hemisphere, but several patients (including ours) demonstrate cortical signs (such as hemineglect).…”
Section: Descriptionmentioning
confidence: 99%