J Korean Neurol Assoc.  2012 Nov;30(4):326-328.

Altered Consciousness After Acute Lacunar Infarction of the Corona Radiata in Patients With Severe White Matter Change

Affiliations
  • 1Department of Neurology, Yeouido St. Mary' Hospital, The Catholic University of Korea, Seoul, Korea. ahyun@catholic.ac.kr

Abstract

With an increasing proportion of the elderly, dementia due to severe cerebral white matter change is frequently observed. Because these patients cannot express their symptoms effectively, the recognition of stroke can be delayed. In addition, clinical characteristics of their stroke might be different. We reported on three patients with severe leukoaraiosis, who exhibited altered consciousness after acute lacunar infarction in the corona radiata. This clinico-radiological discrepancy may have resulted from different susceptibility to ischemia in patients with severe white matter change.

Keyword

Atypical stroke; Cerebral infarction; Subcortical vascular dementia

MeSH Terms

Aged
Cerebral Infarction
Consciousness
Dementia
Dementia, Vascular
Humans
Ischemia
Leukoaraiosis
Stroke
Stroke, Lacunar
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