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Multiple Acute Infarcts in the Posterior Circulation JNNP 60:289-296, Bernasconi,A.,et al, 1996 See this aricle in Pubmed Article Abstract In three and a half years,27 of the 236 patients(11%)with posterior circulation stroke had multiple acute infarcts in the posterior circulation as shown by gadolinium enhancement on MRI.Eighteen patients had multiple infratentorial and supratentorial infarcts including the cerebellum and posterior cerebral artery territory,with coexisting brain- stem involvement in seven patients.Fourteen patients had a rostral basilar artery syndrome and cerebellar signs;four patients had a visual field defect with cerebellar signs.Causes were vertebral(six)or basilar(four) artery atheromatosis,and cardioembolism(four).Seven patients had multiple acute infarcts in the posterior circulation of the cerebellum and lower brain-stem.Brainstem and cerebellar signs were found in most patients (five);aetiologies were small vessel disease(four),cardioembolism(one).and vertebral artery dissection(one).Two patients with large artery atheromatosis had multiple acute infarcts in the posterior circulation in the brainstem and posterior cerebral artery territory.One month after stroke,more than 25%of the patients were dependent or had died.There was no difference in the outcome between the three groups,and recovery was linked to the size of infarcts rather than to a high number of infarcts.

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(click to filter results - removes previous filter) brainstem,infarction of cerebellar infarction cerebral embolism cerebrovascular accident cerebrovascular accident,bilateral cerebrovascular accident,multiple cerebrovascular accident,vascular territory involved embolism embolism,vertebral-basilar artery posterior cerebral artery territory infarction prognosis review article vertebral-basilar insufficiency visual field defect

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