Symmetric brainstem necrosis in an adult following hypotension: an arterial end-zone infarct? | Zendy

J C Jurgensen | Zendy; Javad Towfighi | Zendy; Robert W. Brennan | Zendy; William H. Jeffreys | Zendy

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Symmetric brainstem necrosis in an adult following hypotension: an arterial end-zone infarct?

Author(s) -

J C Jurgensen,

Javad Towfighi,

Robert W. Brennan,

William H. Jeffreys

Publication year - 1983

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/01.str.14.6.967

Subject(s) - medicine , brainstem , coma (optics) , anesthesia , infarction , necrosis , cardiology , myocardial infarction , physics , optics

A 44-year-old woman with prolonged coma and hypotension following drug overdosage developed bilateral hemorrhagic infarcts in the dorsolateral brainstem. The regional distribution of these paired lesions corresponds to the area of confluence of penetrating arteries in the brainstem. It is suggested that under exceptional circumstances brainstem arterial end-zones may be vulnerable to anoxic-ischemic insult.

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