Yonsei Med J.  1989 Sep;30(3):310-314. 10.3349/ymj.1989.30.3.310.

Two cases of anterior choroidal artery territory infarction

• Hwang SH
• Huh K
• Kim SM
• Kim JS
• Suh JH

• KMID: 1097023
• DOI: http://doi.org/10.3349/ymj.1989.30.3.310

Abstract

Occlusion of the anterior choroidal artery (AChA) can cause infarction in the posterior limb of the internal capsule. Infarction is less frequently observed in the thalamus, midbrain, temporal lobe, and lateral geniculate body (LGB) territories of the AChA. The most common clinical finding is hemiparesis. Hemianesthesia may be severe at onset but is usually transient. Homonymous hemianopia, upper-quadrant anopia, or upper- and lower-quadrant sector anopia can be present. Occasionally these patients are reported to have transient abnormalities of higher cortical function. The most common stroke mechanism is known to be small-vessel occlusive disease, predominantly found in hypertensive and diabetic patients. Vasospasm due to ruptured aneurysm or intraoperative mechanical manipulation, and cardiac origin the AChA territory. The infarct lesion is usually recognized and diagnosed by computed tomography. The best treatment is still unknown.

Keyword

Anterior choroidal artery; hemiparesis; hemianesthesia; hemianopia; cortical function

MeSH Terms

Aged
Carotid Artery, Internal/radiography
Case Report
Cerebral Angiography
Cerebral Infarction/*radiography
Choroid Plexus/blood supply
Female
Human
Male
Middle Age
*Tomography, X-Ray Computed