Three-dimensional neglect phenomena following right anterior choroidal artery infarction

1999 ◽  
Vol 5 (6) ◽  
pp. 567-571 ◽  
Author(s):  
ADRIANA KORI ◽  
DAVID S. GELDMACHER
Keyword(s):  
Right Hemisphere ◽  
Three Dimensional ◽  
Spatial Processing ◽  
Anterior Choroidal Artery ◽  
3 Dimensional ◽  
Spatial Dimensions ◽  
Anterior Choroidal ◽  
True Center ◽  
The Right ◽  
Choroidal Artery

Neglect in the horizontal and vertical axes of space has been observed after acute right anterior choroidal artery (AChA) lesions. How spatial processing is affected in the radial axis during the acute period following infarction in this region is unknown. We report the case of a 69-year-old man with acute left hemineglect and deficits in 3-dimensional spatial processing following right AChA infarction. His line bisections in 4 spatial conditions, oriented in the 3 primary axes of space, were compared with 6 control participants. The patient's bisections were different from true center and from control performance in all axes. His bisections were to the right, below, and distal to the arithmetic midpoint. This patient's bisection errors show a 3-dimensional neglect pattern following right AChA infarction, supporting the view that processing of all 3 spatial dimensions may be simultaneously disturbed following unilateral right hemisphere lesions. (JINS, 1999, 5, 567–571.)

scholarly journals Contribution of right hemisphere to visual imagery: A visual working memory impairment?

2008 ◽  
Vol 14 (5) ◽  
pp. 902-911 ◽  
Author(s):  
MARINA GASPARINI ◽  
ANNE MARIE HUFTY ◽  
GIOVANNI MASCIARELLI ◽  
DONATELLA OTTAVIANI ◽  
UGO ANGELONI ◽  
...  
Keyword(s):  
Working Memory ◽  
Visual Working Memory ◽  
Visual Imagery ◽  
Visual Memory ◽  
Right Hemisphere ◽  
Anterior Choroidal ◽  
The Right ◽  
Mind's Eye ◽  
Choroidal Artery

Visual Imagery is the ability to generate mental images in the absence of perception, that is, “seeing with the mind's eye.” We describe a patient, IM, who suffered from an acute ischemic stroke in the right anterior choroidal artery who appeared to demonstrate relatively isolated impairment in visual imagery. Her cognitive function, including her performance on tests of semantic function, was at ceiling, apart from a deficit in visual memory. IM failed in tasks involving degraded stimuli, object decision involving reality judgments on normal animals, and drawings from memory. By contrast, she was able to match objects seen from an unfamiliar viewpoint and to perform tasks of semantic and visual association. We hypothesize that IM has a visual working memory deficit that impairs her ability to generate full visual representations of objects given their names, individual feature, or partial representations. The deficit appears to be the result of damage to connections between the right thalamus and the right temporal lobe. Our findings may help to clarify the role of the thalamus in the cortical selective engagement processes that underlie working memory. (JINS, 2008, 14, 902–911.)

The anterior choroidal artery

1978 ◽  
Vol 14 (2) ◽  
pp. 160
Author(s):  
SY Rho ◽  
SH Cha ◽  
WH Lee ◽  
JS Kim
Keyword(s):  
Anterior Choroidal Artery ◽  
Anterior Choroidal ◽  
Choroidal Artery

scholarly journals Paracentral homonymous hemianopic scotoma caused by anterior choroidal artery infarction

QJM ◽  
2021 ◽  
Author(s):  
A Mitsutake ◽  
Y Nagashima ◽  
H Mori ◽  
H Sawamura ◽  
T Toda
Keyword(s):  
Anterior Choroidal Artery ◽  
Anterior Choroidal ◽  
Choroidal Artery

Management of an Uncommon Complication: Anterior Choroidal Artery Occlusion by Posterior Clinoid Process Detected Through Intraoperative Monitoring After Clipping of Paraclinoid Aneurysm: 2-Dimensional Operative Video

2021 ◽  
Author(s):  
Walter Marani ◽  
Francisco Mannará ◽  
Kosumo Noda ◽  
Tomomasa Kondo ◽  
Nakao Ota ◽  
...  
Keyword(s):  
Intraoperative Monitoring ◽  
Motor Evoked Potential ◽  
Japanese Woman ◽  
Motor Deficits ◽  
Anterior Choroidal Artery ◽  
Diffusion Weighted Images ◽  
Ct Angiogram ◽  
Paraclinoid Aneurysms ◽  
Anterior Choroidal ◽  
Choroidal Artery

Abstract Despite technological advances in endovascular therapy, surgical clipping of paraclinoid aneurysms remains an indispensable treatment option and has an acceptable profile risk. Intraoperative monitoring of motor and somatosensory evoked potentials has proven to be an effective tool in predicting and preventing postoperative motor deficits during aneurysm clipping.1,2 We describe the case of a 61-yr-old Japanese woman with a history of hypertension and smoking. During follow-up for bilateral aneurysms of ophthalmic segment of the internal carotid artery (ICA), left-sided aneurysm growth was detected. A standard pterional approach with extradural clinoidectomy was used to approach the aneurysm. After clipping, a significant intraprocedural change in motor evoked potential (MEP) amplitude was observed despite native vessel patency was confirmed through micro-Doppler and indocyanine green video angiography.3-5 After extensive dissection of the sylvian fissure and exposure of the communicating segment of ICA, the anterior choroidal artery was found to be compressed and occluded by the posterior clinoid because of an inadvertent shift of the ICA after clip application and removal of brain retractors. Posterior clinoidectomy was performed intradurally with microrongeur and MEP amplitude returned readily to baseline values. Computed tomography (CT) angiogram demonstrated complete exclusion of the aneurysm, and magnetic resonance imaging (MRI) was negative for postoperative ischemic lesions on diffusion weighted images. The patient tolerated the procedure well and was discharged home on postoperative day 3 with modified Rankin Scale (mRS) 0. The patient signed the Institutional Consent Form to undergo the surgical procedure and to allow the use of her images and videos for any type of medical publications.

scholarly journals A Case of Anterior Choroidal Artery Occlusion and Stroke Secondary to External Compression

2021 ◽  
pp. 369-374
Author(s):  
Satya Narayana Patro ◽  
Khawaja Hassan Haroon ◽  
Khansabegum Tamboli ◽  
Abdulaziz Zafar ◽  
Suhail Hussain ◽  
...  
Keyword(s):  
Medial Temporal Lobe ◽  
Optic Tract ◽  
Internal Capsule ◽  
Cerebral Peduncle ◽  
Anterior Choroidal Artery ◽  
Vessel Occlusion ◽  
External Compression ◽  
Posterior Limb ◽  
Anterior Choroidal ◽  
Choroidal Artery

The anterior choroidal artery (AChA) is a small artery commonly arising from the supraclinoid segment of the internal carotid artery (ICA). The significance of the AChA is related to its strategic supply to various important structures of the brain, such as the optic tract, the posterior limb of the internal capsule, the cerebral peduncle, the lateral geniculate body, medial temporal lobe, medial area of pallidum, and the choroid plexus [<i>J Neurol</i>. 1988;235:387–91]. The AChA syndrome in its complete form consists of the triad of hemiplegia, hemisensory loss, and hemianopia. However, incomplete forms are more frequent in clinical practice [<i>Stroke</i>. 1994;25:837–42]. Isolated infarction in the AChA territory is relatively rare. The presumed pathogenic mechanisms of AChA infarction are cardiac emboli, large-vessel atherosclerosis, dissection of the ICA, small-vessel occlusion, or other determined or undetermined causes [<i>Stroke</i>. 1994;25:837–42 and <i>J Neurol Sci</i>. 2009;281:80–4].

The Perforating Branches of the Internal Carotid Artery: The Microsurgical Anatomy of Their Extracerebral Segments

Neurosurgery ◽  
1990 ◽  
Vol 26 (3) ◽  
pp. 472-479 ◽  
Author(s):  
Slobodan V. Marinkovié ◽  
Milan M. Milisavljevié ◽  
Zorica D. Marinkovié
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Cerebral Aneurysms ◽  
Microsurgical Anatomy ◽  
Great Care ◽  
Anterior Choroidal Artery ◽  
Frequent Site ◽  
Anterior Choroidal ◽  
Choroidal Artery

Abstract The perforating branches of the internal carotid artery (ICA) were examined in 30 forebrain hemispheres. These branches were present in all the cases studied, and varied from 1 to 6 in number (mean, 3.1). Their diameters ranged from 70 to 470 Mm (mean, 243 Mm). The perforating branches arose from the choroidal segment of the ICA, that is, from its caudal surface (52.3%), caudolateral surface (34.1%), or caudomedial surface (13.6%). They rarely originated from the bifurcation point of the ICA (10%). The distance of the remaining 90% of the perforators from the summit of the ICA measured between 0.6 and 4.6 mm. The perforating branches most often originated as individual vessels, and less frequently from a common stem with another vessel or by sharing the same origin site with another perforator or with the anterior choroidal artery. The bifurcation of the ICA, which is a frequent site for cerebral aneurysms, is surrounded by many perforating branches. Hence, great care must be taken to avoid damage to these important vessels during operations in that region.

Thrombolytic Therapy Is an Only Determinant Factor for Stroke Evolution in Large Anterior Choroidal Artery Infarcts

2014 ◽  
Vol 23 (5) ◽  
pp. 1089-1093 ◽  
Author(s):  
Meng-Chen Wu ◽  
Li-Kai Tsai ◽  
Chung-Chu Wu ◽  
Shin-Joe Yeh ◽  
Sung-Chun Tang ◽  
...  
Keyword(s):  
Thrombolytic Therapy ◽  
Anterior Choroidal Artery ◽  
Anterior Choroidal ◽  
Stroke Evolution ◽  
Choroidal Artery ◽  
Determinant Factor

A new type of hyperplastic anterior choroidal artery

2018 ◽  
Vol 51 ◽  
pp. 72-74 ◽  
Author(s):  
Kazuma Doi ◽  
Takamasa Mizuno ◽  
Yoshinori Shigematsu ◽  
Osamu Kobayashi ◽  
Tatsuya Takezaki ◽  
...  
Keyword(s):  
Anterior Choroidal Artery ◽  
New Type ◽  
Anterior Choroidal ◽  
Choroidal Artery

Microsurgical clipping of anterior choroidal artery aneurysms: Tips and tricks

2020 ◽  
Vol 8 (2) ◽  
pp. 126
Author(s):  
KamleshKumar Singh ◽  
Vinod Kumar ◽  
Debish Anand ◽  
RGirish Menon
Keyword(s):  
Anterior Choroidal Artery ◽  
Tips And Tricks ◽  
Microsurgical Clipping ◽  
Anterior Choroidal ◽  
Choroidal Artery
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