Anterior cerebral artery infarcts; Two years follow-up study

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dc.contributor.authorHanoğlu, Lütfü
dc.contributor.authorKhanmammadov, Elmir
dc.contributor.authorDemirci, Sema
dc.contributor.authorAltın, Ummuhan
dc.contributor.authorKırbaş, Dursun
dc.contributor.authorHanoğlu, Taha
dc.contributor.authorYuluğ, Burak
dc.date.accessioned2021-02-19T21:16:25Z
dc.date.available2021-02-19T21:16:25Z
dc.date.issued2018
dc.departmentALKÜ
dc.description.abstractObjectives - Anterior cerebral infarct (ACA) infarcts are reported very rare that is due to the compensatory collateral circulation provided by the anterior communicating artery. There are very few studies reporting the long-term follow-up results of ACA infarcts regarding their aetiology, clinical features and prognosis. Most studies reported in the literature vary between several months to one year. Patients and methods - A total of 27 patients with ACA infarcts were registered (14 women and 13 men). The mean age of the patients was 68.5 (age range: 45-89 years). Results - Bilateral ACA infarcts were reported in four patients (14.8%), right ACA infarct in 11 (40%) patients and left ACA infarct in 12 patients (44%). During the initial examination 15 patients (55.5%) were found to have apathy, 13 patients (48%) had incontinence, nine patients (33.3%) had primitive reflexes, 11 patients (40.7%) had aphasia, while six patients (22.2%) were found to suffer from neglect. At the end of one-year follow-up, five patients (22.7%) were reported to have apathy, 6 patients (27.2%) had incontinence, one patient (4.5%) had primitive reflexes, while one patient (4.5%) was found to have permanent aphasia, and no patients was found to suffer from neglect. Conclusion - Here we present our clinical data regarding the aetiology, specific clinical characteristics (including the speech disorders) and prognosis of 27 patients with ACA infarcts during a relatively longer follow-up period (3 months - 30 months) in compared to previous literature. We show that there are differences in the etiological factors of ACA infarcts between the Asian and European communities. Regarding speech disorders which are frequently reported during ACA infarcts, our study results are in agreement with other studies suggesting that this clinical picture is more than a real aphasia and associated with general hypokinesia and reduction in psychomotor activity.
dc.identifier.doi10.18071/isz.71.0331
dc.identifier.endpage336en_US
dc.identifier.issn0019-1442
dc.identifier.issue9-10en_US
dc.identifier.pmid30335265
dc.identifier.scopusqualityQ4
dc.identifier.startpage331en_US
dc.identifier.urihttps://doi.org/10.18071/isz.71.0331
dc.identifier.urihttps://hdl.handle.net/20.500.12868/418
dc.identifier.volume71en_US
dc.identifier.wosWOS:000447959300005
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthor0-belirlenecek
dc.language.isoen
dc.publisherLiteratura Medica
dc.relation.ispartofIdeggyogyaszati Szemle-Clinical Neuroscience
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectanterior cerebral artery infarct
dc.subjectneurocognitive dysfunction
dc.subjectmotor dysfunction
dc.subjectRankin scores
dc.subjectTOAST classification
dc.titleAnterior cerebral artery infarcts; Two years follow-up study
dc.typeArticle

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