PT  - JOURNAL ARTICLE
AU  - Brian R. Chambers
AU  - Ronald J. Brooder
AU  - Geoffrey A. Donnan
TI  - Proximal posterior cerebral artery occlusion simulating middle cerebral artery occlusion
AID  - 10.1212/WNL.41.3.385
DP  - 1991 Mar 01
TA  - Neurology
PG  - 385--385
VI  - 41
IP  - 3
4099  - http://n.neurology.org/content/41/3/385.short
4100  - http://n.neurology.org/content/41/3/385.full
SO  - Neurology1991 Mar 01; 41
AB  - We describe 12 cases of acute stroke in which clinical features of proximal posterior cerebral artery occlusion simulated the clinical syndrome of middle cerebral artery occlusion. The majority of patients developed contra lateral hemi-paresis, homonymous hemianopia, hemi spatial neglect, and sensory loss or sensory inattention. All 8 patients with dominant hemisphere lesions were aphasic. Accurate diagnosis in each case was achieved only after a head CT, showing occipital lobe, thalamic, and inferomesial temporal lobe infarction. “Cortical” signs are probably explained by thalamic involvement. Recognition of this syndrome has implications for management and prognosis.