Confusional state and cerebral infarcts.
نویسنده
چکیده
Thirteen patients with confusional state and cerebral infarction were studied. Seven patients had optic pathway alterations. On computed tomographic scan, 2 patients had multiple infarctions and 10 had single infarctions, predominantly located in the temporo-occipital associative cortex. One patient had a normal scan. Reduction of 'selective attention', 'release' hallucinations, amnesic syndrome and secondary individual adjustment could explain the confusional state.
منابع مشابه
Agitated confusional states in patients with right hemisphere infarctions.
Patients with infarctions in the territory of the right middle cerebral artery (RMCA) sometimes present with an agitated confusional state. We reviewed clinical data on 46 patients with RMCA infarcts and compared neurologic findings in patients with and without agitated confusion. Neither of the two patients presenting with agitated confusion showed obvious localizing neurologic signs; subtle m...
متن کاملSegmental narrowing of the supraclinoid carotid artery in young patients with ischemic stroke.
have been hypothesized, and these large multimers of von Willebrand molecules have been shown to clump platelets in vitro. The neurological manifestations of TTP are diverse, but in most instances an acute confusional state, seizures, transient hemiparesis, and stupor predominate.' The clinicoanatomic correlation in patients with decreased levels of consciousness alone is problematic but may be...
متن کاملAcute confusional state and hyponatraemia due to inappropriate antidiuretic hormone secretion in polyarteritis nodosa.
An acute confusional state, which developed in a patient with polyarteritis nodosa (PAN), proved to be secondary to inappropriate secretion of antidiuretic hormone and consequent hyponatraemia. This is a very unusual complication of PAN and may well reflect a direct stimulation of the supraoptic nuclei owing to cerebral vasculitis.
متن کاملCognitive changes in patients with multiple cerebral infarcts.
Consensus has not been achieved regarding the impact of multiple cerebral infarcts on neurobehavioral status. To evaluate cognitive function in patients with multiple cerebral infarcts, we administered a comprehensive neuropsychological test battery to 23 consecutive male patients with clinical and brain computed tomographic findings consistent with at least two separate areas of cerebral infar...
متن کاملPattern of activation of the hypothalamic-pituitary-adrenal axis in acute stroke. Relation to acute confusional state, extent of brain damage, and clinical outcome.
BACKGROUND AND PURPOSE The aim of this study was to characterize the response of the hypothalamic-pituitary-adrenal system in the first hours of ischemic stroke and to relate its extent to the occurrence of acute confusional state, volume of brain damage, and clinical outcome. METHODS The secretion of corticotropin (adrenocorticotropic hormone [ACTH]) and cortisol was studied in 23 patients b...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Postgraduate medical journal
دوره 65 763 شماره
صفحات -
تاریخ انتشار 1989