Altered Consciousness After Acute Lacunar Infarction of the Corona
Radiata in Patients With Severe White Matter Change

J Korean Neurol Assoc > Volume 30(4); 2012 > Article

Journal of the Korean Neurological Association 2012;30(4): 326-328.

중증 백질변성 환자에서 대뇌부챗살 급성열공경색 후 발생한 의식저하

유동우, 이영현 권세윤 손영민 김범생 조아현

가톨릭대학교 의과대학 여의도성모병원 신경과

Altered Consciousness After Acute Lacunar Infarction of the Corona Radiata in Patients With Severe White Matter Change

Dong-Woo Ryu

Department of Neurology, Yeouido St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea

Abstract

With an increasing proportion of the elderly, dementia due to severe cerebral white matter change is frequently observed. Because these patients cannot express their symptoms effectively, the recognition of stroke can be delayed. In addition, clinical characteristics of their stroke might be different. We reported on three patients with severe leukoaraiosis, who exhibited altered consciousness after acute lacunar infarction in the corona radiata. This clinico-radiological discrepancy may have resulted from different susceptibility to ischemia in patients with severe white matter change. Key Words: Atypical stroke, Cerebral infarction, Subcortical vascular dementia