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. 1982 Feb;45(2):147–150. doi: 10.1136/jnnp.45.2.147

Blood pressure does no predict lacunar infarction.

J van Gijn, C L Kraaijeveld
PMCID: PMC1083043  PMID: 7069427

Abstract

We studied the relation between blood pressure and type of cerebral infarction (large or lacunar) in 134 patients with acute hemispheral infarcts that were detectable by computed tomography and that could not be attributed to causes other than atherothrombotic arterial disease. Lacunae were present in 26 patients, and systolic blood pressures were higher in this group than in the 108 patients with large infarcts. The overlap was so wide, however, that large infarcts predominated at every level of blood pressure. The presence of a lacune can be inferred only from the combination of clinical signs and, most important, computed tomography.

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Selected References

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

  1. Baker A. B., Resch J. A., Loewenson R. B. Hypertension and cerebral atherosclerosis. Circulation. 1969 May;39(5):701–710. doi: 10.1161/01.cir.39.5.701. [DOI] [PubMed] [Google Scholar]
  2. FISHER C. M., CURRY H. B. PURE MOTOR HEMIPLEGIA OF VASCULAR ORIGIN. Arch Neurol. 1965 Jul;13:30–44. doi: 10.1001/archneur.1965.00470010034005. [DOI] [PubMed] [Google Scholar]
  3. FISHER C. M. LACUNES: SMALL, DEEP CEREBRAL INFARCTS. Neurology. 1965 Aug;15:774–784. doi: 10.1212/wnl.15.8.774. [DOI] [PubMed] [Google Scholar]
  4. FISHER C. M. PURE SENSORY STROKE INVOLVING FACE, ARM, AND LEG. Neurology. 1965 Jan;15:76–80. doi: 10.1212/wnl.15.1.76. [DOI] [PubMed] [Google Scholar]
  5. Fisher C. M. A lacunar stroke. The dysarthria-clumsy hand syndrome. Neurology. 1967 Jun;17(6):614–617. doi: 10.1212/wnl.17.6.614. [DOI] [PubMed] [Google Scholar]
  6. Fisher C. M. Ataxic hemiparesis. A pathologic study. Arch Neurol. 1978 Mar;35(3):126–128. doi: 10.1001/archneur.1978.00500270008002. [DOI] [PubMed] [Google Scholar]
  7. Fisher C. M. Capsular infarcts: the underlying vascular lesions. Arch Neurol. 1979 Feb;36(2):65–73. doi: 10.1001/archneur.1979.00500380035003. [DOI] [PubMed] [Google Scholar]
  8. Fisher C. M. The arterial lesions underlying lacunes. Acta Neuropathol. 1968 Dec 18;12(1):1–15. doi: 10.1007/BF00685305. [DOI] [PubMed] [Google Scholar]
  9. Gobernado J. M., Fernández de Molina A. R., Gimeno A. Pure motor hemiplegia due to hemorrhage in the lower pons. Arch Neurol. 1980 Jun;37(6):393–393. doi: 10.1001/archneur.1980.00500550095022. [DOI] [PubMed] [Google Scholar]
  10. Mohr J. P., Kase C. S., Meckler R. J., Fisher C. M. Sensorimotor stroke due to thalamocapsular ischemia. Arch Neurol. 1977 Dec;34(12):739–741. doi: 10.1001/archneur.1977.00500240027004. [DOI] [PubMed] [Google Scholar]
  11. Nelson R. F., Pullicino P., Kendall B. E., Marshall J. Computed tomography in patients presenting with lacunar syndromes. Stroke. 1980 May-Jun;11(3):256–261. doi: 10.1161/01.str.11.3.256. [DOI] [PubMed] [Google Scholar]
  12. Prineas J., Marshall J. Hypertension and cerebral infarction. Br Med J. 1966 Jan 1;1(5478):14–17. doi: 10.1136/bmj.1.5478.14. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Pullicino P., Nelson R. F., Kendall B. E., Marshall J. Small deep infarcts diagnosed on computed tomography. Neurology. 1980 Oct;30(10):1090–1096. doi: 10.1212/wnl.30.10.1090. [DOI] [PubMed] [Google Scholar]
  14. Russell R. W. How does blood-pressure cause stroke? Lancet. 1975 Dec 27;2(7948):1283–1285. doi: 10.1016/s0140-6736(75)90615-7. [DOI] [PubMed] [Google Scholar]
  15. Weisberg L. A. Computed tomography and pure motor hemiparesis. Neurology. 1979 Apr;29(4):490–495. doi: 10.1212/wnl.29.4.490. [DOI] [PubMed] [Google Scholar]

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