Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1995 Jul;59(1):87–89. doi: 10.1136/jnnp.59.1.87

Cerebellar border zone infarcts are often associated with presumed cardiac sources of ischaemic stroke.

F Mounier-Vehier 1, I Degaey 1, X Leclerc 1, D Leys 1
PMCID: PMC1073608  PMID: 7608717

Abstract

It has been suggested that most border zone cerebellar infarcts are embolic infarcts or infarcts due to hypercoagulatble states. The aim of this study was to test this hypothesis. Risk factors for the presumed mechanism of stroke (TOAST criteria) were studied in 14 consecutive patients (nine men, five women; age range 29-84 years) with a total of 17 border zone cerebellar infarcts. The presumed cause of stroke was "cardioembolism" in nine patients. Three patients had a dissection of the vertebral artery. Two patients had a negative diagnostic investigation, and one had a cardiac arrest. These findings support the hypothesis that cardioembolism is a frequent mechanism of border zone cerebellar infarcts.

Full text

PDF
87

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adams H. P., Jr, Bendixen B. H., Kappelle L. J., Biller J., Love B. B., Gordon D. L., Marsh E. E., 3rd Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment. Stroke. 1993 Jan;24(1):35–41. doi: 10.1161/01.str.24.1.35. [DOI] [PubMed] [Google Scholar]
  2. Amarenco P., Hauw J. J. Cerebellar infarction in the territory of the anterior and inferior cerebellar artery. A clinicopathological study of 20 cases. Brain. 1990 Feb;113(Pt 1):139–155. doi: 10.1093/brain/113.1.139. [DOI] [PubMed] [Google Scholar]
  3. Amarenco P., Kase C. S., Rosengart A., Pessin M. S., Bousser M. G., Caplan L. R. Very small (border zone) cerebellar infarcts. Distribution, causes, mechanisms and clinical features. Brain. 1993 Feb;116(Pt 1):161–186. doi: 10.1093/brain/116.1.161. [DOI] [PubMed] [Google Scholar]
  4. Amarenco P., Lévy C., Cohen A., Touboul P. J., Roullet E., Bousser M. G. Causes and mechanisms of territorial and nonterritorial cerebellar infarcts in 115 consecutive patients. Stroke. 1994 Jan;25(1):105–112. doi: 10.1161/01.str.25.1.105. [DOI] [PubMed] [Google Scholar]
  5. Barth A., Bogousslavsky J., Regli F. The clinical and topographic spectrum of cerebellar infarcts: a clinical-magnetic resonance imaging correlation study. Ann Neurol. 1993 May;33(5):451–456. doi: 10.1002/ana.410330507. [DOI] [PubMed] [Google Scholar]
  6. Kase C. S., Norrving B., Levine S. R., Babikian V. L., Chodosh E. H., Wolf P. A., Welch K. M. Cerebellar infarction. Clinical and anatomic observations in 66 cases. Stroke. 1993 Jan;24(1):76–83. doi: 10.1161/01.str.24.1.76. [DOI] [PubMed] [Google Scholar]
  7. Mounier-Vehier F., Leys D., Godefroy O., Rondepierre P., Marchau M., Jr, Pruvo J. P. Borderzone infarct subtypes: preliminary study of the presumed mechanism. Eur Neurol. 1994;34(1):11–15. doi: 10.1159/000117001. [DOI] [PubMed] [Google Scholar]
  8. Sypert G. W., ALvord E. C., Jr Cerebellar infarction. A clinicopathological study. Arch Neurol. 1975 Jun;32(6):357–363. doi: 10.1001/archneur.1975.00490480023001. [DOI] [PubMed] [Google Scholar]
  9. Tohgi H., Takahashi S., Chiba K., Hirata Y. Cerebellar infarction. Clinical and neuroimaging analysis in 293 patients. The Tohoku Cerebellar Infarction Study Group. Stroke. 1993 Nov;24(11):1697–1701. doi: 10.1161/01.str.24.11.1697. [DOI] [PubMed] [Google Scholar]
  10. Torvik A. The pathogenesis of watershed infarcts in the brain. Stroke. 1984 Mar-Apr;15(2):221–223. doi: 10.1161/01.str.15.2.221. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES