STROKE-PRESENTATION, ICA TERRITORY

SUMMARY

1. Variable syndrome, 30%-40% are asymptomatic. Occlusion most common in the first part of the ICA.

2. Occular infarction: embolic occlusion of either retinal branch or central retinal artery.

3. Amaurosis fugax - harbinger of stroke in 25% of cases.

4. Cerebral infarction - variable presentation from minimal symptoms to extensive involvement of both ipsilateral MCA & ACA territories.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].