Preserved cognition and functional independence after a large right posterior cerebral artery infarct

Longitudinal clinical and neuropathological findings

Olivier Piguet*, Hayley P. Bennett, Louise M. Waite, Jillian J. Kril, Helen Creasey, G. Anthony Broe, Glenda M. Halliday

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

BVR was 77 years old when he sustained a large posterior cerebral artery territory infarct. Medical, cognitive and functional data collected on four occasions over 10 years initially revealed circumscribed neurological signs, no functional or cognitive deficits. BVR became significantly impaired only after two other strokes, 3 years before death. On brain MRI, the lesions involved large portions of the right occipital and temporal cortices, the right thalamus, and the left cerebellum, as well as thinning of the corpus callosum. Postmortem investigations revealed additional recent vascular lesions in the occipital region. This case study underscores the importance of comprehensive assessment methods combining neurological, neuroimaging and cognitive tools.

Original languageEnglish
Pages (from-to)81-90
Number of pages10
JournalNeurocase
Volume12
Issue number2
DOIs
Publication statusPublished - Apr 2006
Externally publishedYes

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