Orsak till vävnadsskador; Ischemi; Hemorragisk; Watershed Stroke; Plats; Kortikal stroke; Frontal cortex; Parietal Cortex; Occipital Cortex; Temporal Cortex 

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This patient had a history of PEA (pulseless electrical activity) arrest and acute right-sided neurological deficits. The CT shows multifocal areas of wedge

A stroke in t Border zone or watershed infarcts are ischemic lesions that occur in characteristic locations at the junction between two main arterial ter-ritories. These lesions constitute approximately 10% of all brain in-farcts and are well described in the literature. Their pathophysiology has not yet been fully elucidated, but a commonly accepted hypothesis Infarctions in the temporo-parieto-occipital watershed area are difficult to distinguish from territorial infarctions within the posterior part of the middle cerebral artery distribution. For research purposes, such patients should be excluded in order to keep the subgroups homogeneous. A watershed infarct is a stroke caused by a drop in circulating pressure and or volume that results in critical ischaemia or infarction between territories.

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Only a small part can be seen on the lateral surface of the hemisphere, its chief part being on the medial surface. The lateral part of the parieto-occipital sulcus is situated about 5 cm in front of the occipital pole of the hemisphere, and … parieto-occipital cortices and no acute intracranial hemorrhages (Figure 1A) magnetic resonance angiography (MRA) of the brain, which revealed possible arterial dissection involving bilateral distal vertebral and proximal basilar arteries. Based on the MRA findings, the patient was started on anticoagulation therapy magnetic resonance imaging (MRI) of the brain, which revealed evolving late subacute infarcts involving the bilateral parieto-occipital cortices and no acute intracranial hemorrhages (Figure 1A) magnetic resonance angiography (MRA) of the brain, which revealed possible arterial dissection involving bilateral distal vertebral and proximal basilar arteries. WATERSHED STROKES AFTER CARDIAC SURGERY • Patients with bilateral watershed infarctions were more likely to have undergone an aortic procedure and less likely to have undergone a simple or redo CABG • Patients with bilateral watershed infarcts were 6.23 times as … infarct in relationship to the perfusion territories of the brain-feeding arteries may be used for confirm-ing the thromboembolic source in patients with symptomatic carotid disease, and also for identify-ing ‘border zone’ or ‘watershed’ infarcts in patients with compromised cerebral perfusion.1 Standardised perfusion territory atlases of the Triple watershed zone: most vulnerable region where ACA, MCA, and PCA converge in the parieto-occipital region posterior to the lateral ventricles.

Brain MRI showed a left parieto-occipital watershed infarction. It is suggested that lesions of the superior parietal lobule and the adjacent parietal eye field are 

1: Diffusion-weighted image shows acute infarct in right parieto-occipital area 24 Nov 2008 On the left a patient with a watershed infarct in the left hemisphere and FLAIR images in the parietooccipital and posterior frontal cortical and  Ischemia; Lacunar infarct; Watershed infarct; Anoxia; Hypoxia; Emboli; CT; a posterior pericallosal artery prior to terminating as parieto-occipital branches and. 29 Aug 2017 Whether there are differences in pathogenesis among different types and subtypes of cerebral watershed infarction (WSI) is controversial since  28 Nov 2018 Further workup on neuroimaging with MRI Brain showed foci of restricted diffusion in bilateral fronto-parietal lobes, bilateral occipital lobe, left  27 Jul 2016 stroke underwent MRI including structural imaging scans ing 'border zone' or ' watershed' infarcts in patients Parieto-occipital lobe. 2. 0.

Parieto-occipital watershed infarct

The temporal evolution of an infarct occurs in three stages: i) acute (1 day – 1 week) – the involved area is soft and edematous and there is a blurring of anatomic detail; ii) subacute (1 week – 1 month) – there is obvious tissue destruction and liquefactive necrosis of the involved brain; iii) chronic (>1 month) – the damaged tissue has been phagocytized and there is cavition with

Parieto-occipital watershed infarct

Based on the MRA findings, the patient was started on anticoagulation therapy magnetic resonance imaging (MRI) of the brain, which revealed evolving late subacute infarcts involving the bilateral parieto-occipital cortices and no acute intracranial hemorrhages (Figure 1A) magnetic resonance angiography (MRA) of the brain, which revealed possible arterial dissection involving bilateral distal vertebral and proximal basilar arteries. WATERSHED STROKES AFTER CARDIAC SURGERY • Patients with bilateral watershed infarctions were more likely to have undergone an aortic procedure and less likely to have undergone a simple or redo CABG • Patients with bilateral watershed infarcts were 6.23 times as … infarct in relationship to the perfusion territories of the brain-feeding arteries may be used for confirm-ing the thromboembolic source in patients with symptomatic carotid disease, and also for identify-ing ‘border zone’ or ‘watershed’ infarcts in patients with compromised cerebral perfusion.1 Standardised perfusion territory atlases of the Triple watershed zone: most vulnerable region where ACA, MCA, and PCA converge in the parieto-occipital region posterior to the lateral ventricles.

Parieto-occipital watershed infarct

Neuropsychological deficits after occipital infarction are most often described in case studies and only a small sample of studies has attempted to exactly correlate the anatomical localization of lesions with associated neuropsychological symptoms. The present study investigated a large number of p … Location of stroke: A lacunar infarct is a small stroke, usually deep in the brain matter. Periventricular means near the ventricles also deep in the brain. A stroke in t Border zone or watershed infarcts are ischemic lesions that occur in characteristic locations at the junction between two main arterial ter-ritories. These lesions constitute approximately 10% of all brain in-farcts and are well described in the literature. Their pathophysiology has not yet been fully elucidated, but a commonly accepted hypothesis Infarctions in the temporo-parieto-occipital watershed area are difficult to distinguish from territorial infarctions within the posterior part of the middle cerebral artery distribution. For research purposes, such patients should be excluded in order to keep the subgroups homogeneous.
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Parieto-occipital watershed infarct

75-year old male, DM, CHD. Drowsiness and new onset left sided peripheral motor weakness. Subacute infarction in the right posterior cerebral artery territory with hemorrhagic conversion. 79-year-old female, DM, HTN. Drowsiness and altered mentation.

Only a small part can be seen on the lateral surface of the hemisphere, its chief part being on the medial surface. The lateral part of the parieto-occipital sulcus is situated about 5 cm in front of the occipital pole of the hemisphere, and … parieto-occipital cortices and no acute intracranial hemorrhages (Figure 1A) magnetic resonance angiography (MRA) of the brain, which revealed possible arterial dissection involving bilateral distal vertebral and proximal basilar arteries. Based on the MRA findings, the patient was started on anticoagulation therapy magnetic resonance imaging (MRI) of the brain, which revealed evolving late subacute infarcts involving the bilateral parieto-occipital cortices and no acute intracranial hemorrhages (Figure 1A) magnetic resonance angiography (MRA) of the brain, which revealed possible arterial dissection involving bilateral distal vertebral and proximal basilar arteries. WATERSHED STROKES AFTER CARDIAC SURGERY • Patients with bilateral watershed infarctions were more likely to have undergone an aortic procedure and less likely to have undergone a simple or redo CABG • Patients with bilateral watershed infarcts were 6.23 times as … infarct in relationship to the perfusion territories of the brain-feeding arteries may be used for confirm-ing the thromboembolic source in patients with symptomatic carotid disease, and also for identify-ing ‘border zone’ or ‘watershed’ infarcts in patients with compromised cerebral perfusion.1 Standardised perfusion territory atlases of the Triple watershed zone: most vulnerable region where ACA, MCA, and PCA converge in the parieto-occipital region posterior to the lateral ventricles.
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Border zone or watershed infarcts are ischemic lesions that occur in characteristic locations at the junction between two main arterial ter-ritories. These lesions constitute approximately 10% of all brain in-farcts and are well described in the literature.


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In the parieto-occipital region, the involvement of the watershed zone between the posterior and middle cerebral arteries was observed on the left side in 4 of the 5 cases . We did not observe any cortical microinfarcts in or outside watershed areas in the sixth case selected from the AD group, in which cortical infarct was not found by the standard procedure.

The parieto-occipital sulcus is a deep sulcus in the cerebral cortex that marks the boundary between the cuneus and precuneus, and also between the parietal and occipital lobes.