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Diaschisis Resulting From Acute Unilateral Cerebral InfarctionQuantitative Evidence for Man
John S. Meyer, MD;
Yukito Shinohara, MD;
Tadashi Kanda, MD;
Yasuo Fukuuchi, MD;
Arthur D. Ericsson, MD;
Norma K. Kok, MD
Arch Neurol. 1970;23(3):241-247.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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HØEDT-RASMUSSEN and Skinhøj1,2 were the first to report bilateral reduction of hemispheric blood flow (HBF) in patients with unilateral cerebral infarction. They measured HBF by means of intracarotid injection of a bolus of radioactive inert gas and an uncollimated detector placed over each hemisphere and found the HBF to be reduced on the "healthy" side as well as in the diseased hemisphere. They did not measure cerebral metabolism but hypothesized that unilateral infarction reduced metabolism, and consequently, resulted in reduced blood flow in the contralateral hemisphere due to transneural depression. There were only six patients with unilateral cerebral infarction in their series, three of whom had thrombosis or embolic occlusion of the internal carotid artery. The smallness of their series was complicated further by the fact that one of the requirements of their method is that the bolus be injected into the internal carotid artery to avoid extracranial
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Neurology, Baylor College of Medicine, and the Baylor-Methodist Center for Cerebrovascular Disease, Houston. Dr. Shinohara is now with the Department of Internal Medicine, Keio University School of Medicine, Tokyo, and Dr. Kok is now with the St. Ursula Clinic, Wassenaar, The Netherlands.
Footnotes
Accepted for publication March 23, 1970.
Reprint requests to Department of Neurology, Baylor College of Medicine, 1200 Moursund, Houston 77025 (Dr. Meyer).
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