Stroke, Vol 15, 536-539, Copyright © 1984 by American Heart Association
J Bogousslavsky and F Regli
Among 75 patients in whom internal carotid artery (ICA) occlusion was
discovered on angiography, 5 presented with transient ischemic attacks
(TIAs) without suffering a stroke. Although neurological examination was
normal, all had evidence for one (in one instance two) hypodense lesion
suggesting infarction contralateral to the neurological dysfunction on
computed tomography (CT). These infarcts were small and deeply located,
being indistinguishable from lacunes in most cases. We suggest that
cerebral infarction with transient signs ( CITS ) may be a usual finding in
patients with ICA occlusion who suffer isolated TIAs. In these cases, CITS
may correspond to incomplete cerebral necrosis related to a well-developed
collateral supply, or to recurrent ischemia in the region of an old
"silent" infarct. CITS should be differentiated from TIAs, which may be
diagnosed only in absence of visible structural lesion.
ARTICLES
Cerebral infarction with transient signs (CITS): do TIAs correspond to small deep infarcts in internal carotid artery occlusion?
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