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Posterior circulation infarct (POCI) is a type of cerebral infarction affecting the posterior circulation supplying one side of the brain.. Posterior circulation stroke syndrome (POCS) refers to the symptoms of a patient who clinically appears to have had a posterior circulation infarct, but who has not yet had any diagnostic imaging (e.g. CT Scan) to confirm the diagnosis.
The posterior circulation supplies the medulla, pons, midbrain, cerebellum and (in 70-80% of people) supplies the posterior cerebellar artery to the thalamus and occipital cortex. [1] As a result, symptoms vary widely depending which brain region is predominantly affected. The term 'vertebrobasilar insufficiency' may be used to describe disease ...
The anterior and posterior circulations meet at the circle of Willis, pictured here, which rests at the top of the brainstem. Inferior view. The posterior cerebral circulation is the blood supply to the posterior portion of the brain, including the occipital lobes, cerebellum and brainstem. It is supplied by the following arteries:
CT scans may not detect ischemic stroke, especially if it is small, of recent onset, [10] or in the brainstem or cerebellum areas (posterior circulation infarct). MRI is better at detecting a posterior circulation infarct with diffusion-weighted imaging. [79] A CT scan is used more to rule out certain stroke mimics and detect bleeding. [10]
Posterior cerebral artery syndrome is a condition whereby the blood supply from the posterior cerebral artery (PCA) is restricted, leading to a reduction of the function of the portions of the brain supplied by that vessel: the occipital lobe, the inferomedial temporal lobe, a large portion of the thalamus, and the upper brainstem and midbrain.
Benedikt syndrome, also called Benedikt's syndrome or paramedian midbrain syndrome, is a rare type of posterior circulation stroke of the brain, with a range of neurological symptoms affecting the midbrain, cerebellum and other related structures. Ipsilateral third nerve palsy presenting with ptosis,abduction of eye. Contralateral flapping tremor.
Posterior cerebral artery is #6, and midbrain is behind it. Claude's syndrome is caused by midbrain infarction as a result of occlusion of a branch of the posterior cerebral artery . [ 2 ] This lesion is usually a unilateral infarction of the red nucleus and cerebellar peduncle , affecting several structures in the midbrain including:
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