Summary
A case of pure motor hemiparesis due to a pontine lacunar infarct is reported. Infarction was related to vertebrobasilar ectasia identified on CT, MRI and MR angiography. MR studies provide accurate information on anatomical location, residual lumen, partial thrombosis, mass effect on brain stem and CSF pathways and vascular complications.
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Fisher CM, Curry HB (1965) Pure motor hemiplegia of vascular origin. Arch Neurol 13: 30–44
Orgogozo JM, Bogousslavsky J (1989) Lacunar syndromes. In: Toole JF (ed) Handbook of clinical neurology, vol 14. Elsevier, Amsterdam, pp 235–269
Bogousslavsky J, Fox AJ, Barnett HJM, Hachinski VC, Vinitski S, Carey LS (1986) Clinico-topographic correlation of small vertebrobasilar infarcts using magnetic resonance imaging. Stroke 17: 929–938
Yu YL, Moseley IF, Pullicino P, McDonald WI (1982) The clinical picture of ectasia of the intracerebral arteries. J Neurol Neurosurg Psychiatry 45: 29–36
Moseley IF, Holland IM (1979) Ectasia of the basilar artery: the breadth of the clinical spectrum and the diagnostic value of computed tomography. Neuroradiology 18: 83–91
Nishizaki T, Tamaki N, Takeda N, Shirakuni T, Kondoh T, Matsumoto S (1986) Dolichoectatic basilar artery: a review of 23 cases. Stroke 17: 1277–1281
Echiverri HC, Rubino FA, Gupta SR, Gujrati M (1989) Fusiform aneurysm of the vertebrobasilar arterial system. Stroke 20: 1741–1747
Milandre L, Bonnefoi B, Pestre P, Pellissier JF, Grisoli F, Khalil R (1991) Dolichoectasies arterielles vertébrobasilaires. Complications et pronostic. Rev Neurol (Paris) 147: 714–722
Hegedüs K (1985) Ectasia of the basilar artery with special reference to possible pathogenesis. Surg Neurol 24: 463–469
Pessin MS, Chimowitz MI, Levine SR, Kwan ES, Adelman LS, Earnest MP, Clark DM, Chason J, Ausman JI, Caplan LR Stroke in patients with fusiform vertebrobasilar aneurysms. Neurology 39: 16–21
Camras LR, Reicher MA, Bentson JR, Wilson GH (1987) Partially thrombosed giant aneurysm simulating an arteriovenous malformation on MR imaging. J Comput Assist Tomogr 11: 326–328
Atlas SW, Grossman RI, Goldberg HI, Hackney DB, Bilaniuk LT, Zimmerman RA (1987) Partially thrombosed giant intracranial aneurysms: correlation of MR and pathologic findings. Radiology 162: 111–114
Olsen WL, Brant-Zawadzki M, Hodes J, Norman D, Newton TH (1987) Giant intracranial aneurysms: MR imaging. Radiology 163: 431–435
Naseem M, Leehey P, Russel E, Sarwar M, Devasthali R (1988) MR of basilar artery dolichoectasia. AJNR 9: 391–392
Brichaux JC, Gense D, Greselle JF, Jasek F, Bouin H, Caillé JM (1989) Radioclinical problems raised by megadolichobasilar artery. J Neuroradiol 16: 11–24
Ross JS, Masaryk TJ, Modic MT, Harik SI, Wiznitzer M, Selman WR (1989) Maghetic resonance angiography of the extracranial carotid arteries and intracranial vessels: a review. Neurology 39: 1369–1376
Marchal G, Bosmans H, Van Frayenhoven L, Wilms G, Van Hecke P, Plets C, Baert AL (1990) Intracranial vascular lesions: optimization and clinical evaluation of three-dimensional time-of-flight MR angiography. Radiology 175: 443–448
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Milandre, L., Martini, P., Perot, S. et al. Pure motor hemiparesis in a case of vertebrobasilar arterial ectasia. Neuroradiology 35, 196–198 (1993). https://doi.org/10.1007/BF00588492
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DOI: https://doi.org/10.1007/BF00588492