Rapidly progressive dementia due to bilateral internal carotid artery occlusion with infarction of the total length of the corpus callosum

The authors report a patient with rapidly progressive cognitive decline due to bilateral internal carotid artery occlusion (ICAO) resulting in multiple pathologically proven cerebral infarctions including the entire length of the corpus callosum. The gradual evolution of the deficits was suggestive...

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Bibliographic Details
Published inJournal of neuroimaging Vol. 14; no. 2; p. 176
Main Authors Rabinstein, Alejandro A, Romano, Jose G, Forteza, Alejandro M, Koch, Sebastian
Format Journal Article
LanguageEnglish
Published United States 01.04.2004
Subjects
Carotid Stenosis - diagnosis
Carotid Stenosis - pathology
Cerebral Angiography
Collateral Circulation - physiology
Corpus Callosum - blood supply
Corpus Callosum - pathology
Dementia, Multi-Infarct - diagnosis
Dementia, Multi-Infarct - pathology
Disease Progression
Dominance, Cerebral - physiology
Electroencephalography
Fatal Outcome
Frontal Lobe - blood supply
Frontal Lobe - pathology
Humans
Image Enhancement
Image Processing, Computer-Assisted
Infarction, Middle Cerebral Artery - diagnosis
Infarction, Middle Cerebral Artery - pathology
Magnetic Resonance Imaging
Male
Middle Aged
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Summary:The authors report a patient with rapidly progressive cognitive decline due to bilateral internal carotid artery occlusion (ICAO) resulting in multiple pathologically proven cerebral infarctions including the entire length of the corpus callosum. The gradual evolution of the deficits was suggestive of hemodynamic ischemia. Bilateral ICAO should be considered in the differential diagnosis of patients with rapidly cognitive decline. Although ICAO commonly spares the splenium, complete callosal infarction is possible in the presence of bilateral ICAO.
ISSN:1051-2284
DOI:10.1111/j.1552-6569.2004.tb00236.x