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Stroke, Vol 20, 409-411, Copyright © 1989 by American Heart Association

ARTICLES

Occipital infarction with hemianopsia from carotid occlusive disease

MS Pessin, ES Kwan, RM Scott and TR Hedges 3d
Department of Neurology, Tufts-New England Medical Center, Boston, Massachusetts 02111.

Extracranial internal carotid artery occlusive disease usually produces stroke in the middle cerebral artery territory or the border zone between the middle and anterior cerebral arteries. It is unusual for occipital infarction in the posterior cerebral artery territory to be caused by internal carotid artery disease despite the fact that the posterior cerebral artery may arise directly from the internal carotid artery as an anatomic variation. We describe a patient with a fetal posterior cerebral artery originating from the internal carotid artery, and the initial manifestation of his extracranial internal carotid artery occlusive disease was hemianopsia from occipital infarction.

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