Circle of Willis Variants: Fetal PCA
We sought to determine the prevalence of fetal posterior cerebral artery (fPCA) and if fPCA was associated with specific stroke etiology and vessel territory affected. This paper is a retrospective review of prospectively identified patients with acute ischemic stroke from July 2008 to December 2010...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2013/105937 |
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| _version_ | 1832553939875135488 |
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| author | Amir Shaban Karen C. Albright Amelia K. Boehme Sheryl Martin-Schild |
| author_facet | Amir Shaban Karen C. Albright Amelia K. Boehme Sheryl Martin-Schild |
| author_sort | Amir Shaban |
| collection | DOAJ |
| description | We sought to determine the prevalence of fetal posterior cerebral artery (fPCA) and if fPCA was associated with specific stroke etiology and vessel territory affected. This paper is a retrospective review of prospectively identified patients with acute ischemic stroke from July 2008 to December 2010. We defined complete fPCA as absence of a P1 segment linking the basilar with the PCA and partial fPCA as small segment linking the basilar with the PCA. Patients without intracranial vascular imaging were excluded. We compared patients with complete fPCA, partial fPCA, and without fPCA in terms of demographics, stroke severity, distribution, and etiology and factored in whether the stroke was ipsilateral to the fPCA. Of the 536 included patients, 9.5% () had complete fPCA and 15.1% () had partial fPCA. Patients with complete fPCA were older and more often female than partial fPCA and no fPCA patients, and significant variation in TOAST classification was detected across groups (). Patients with complete fPCA had less small vessel and more large vessel strokes than patients with no fPCA and partial fPCA. Fetal PCA may predispose to stroke mechanism, but is not associated with vascular distribution, stroke severity, or early outcome. |
| format | Article |
| id | doaj-art-4a1c57bc1d934bea93434b477f4e7b49 |
| institution | Kabale University |
| issn | 2090-8105 2042-0056 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-4a1c57bc1d934bea93434b477f4e7b492025-02-03T05:52:46ZengWileyStroke Research and Treatment2090-81052042-00562013-01-01201310.1155/2013/105937105937Circle of Willis Variants: Fetal PCAAmir Shaban0Karen C. Albright1Amelia K. Boehme2Sheryl Martin-Schild3Stroke Program, Department of Neurology, Tulane University Hospital, 1440 Canal Street, TB-52, Suite 1000, New Orleans, LA 70112-2715, USAHealth Services and Outcomes Research Center for Outcome and Effectiveness Research and Education (COERE), University of Alabama at Birmingham, RWUH M226, 619 19th Street S, Birmingham, AL 35249-3280, USAHealth Services and Outcomes Research Center for Outcome and Effectiveness Research and Education (COERE), University of Alabama at Birmingham, RWUH M226, 619 19th Street S, Birmingham, AL 35249-3280, USAStroke Program, Department of Neurology, Tulane University Hospital, 1440 Canal Street, TB-52, Suite 1000, New Orleans, LA 70112-2715, USAWe sought to determine the prevalence of fetal posterior cerebral artery (fPCA) and if fPCA was associated with specific stroke etiology and vessel territory affected. This paper is a retrospective review of prospectively identified patients with acute ischemic stroke from July 2008 to December 2010. We defined complete fPCA as absence of a P1 segment linking the basilar with the PCA and partial fPCA as small segment linking the basilar with the PCA. Patients without intracranial vascular imaging were excluded. We compared patients with complete fPCA, partial fPCA, and without fPCA in terms of demographics, stroke severity, distribution, and etiology and factored in whether the stroke was ipsilateral to the fPCA. Of the 536 included patients, 9.5% () had complete fPCA and 15.1% () had partial fPCA. Patients with complete fPCA were older and more often female than partial fPCA and no fPCA patients, and significant variation in TOAST classification was detected across groups (). Patients with complete fPCA had less small vessel and more large vessel strokes than patients with no fPCA and partial fPCA. Fetal PCA may predispose to stroke mechanism, but is not associated with vascular distribution, stroke severity, or early outcome.http://dx.doi.org/10.1155/2013/105937 |
| spellingShingle | Amir Shaban Karen C. Albright Amelia K. Boehme Sheryl Martin-Schild Circle of Willis Variants: Fetal PCA Stroke Research and Treatment |
| title | Circle of Willis Variants: Fetal PCA |
| title_full | Circle of Willis Variants: Fetal PCA |
| title_fullStr | Circle of Willis Variants: Fetal PCA |
| title_full_unstemmed | Circle of Willis Variants: Fetal PCA |
| title_short | Circle of Willis Variants: Fetal PCA |
| title_sort | circle of willis variants fetal pca |
| url | http://dx.doi.org/10.1155/2013/105937 |
| work_keys_str_mv | AT amirshaban circleofwillisvariantsfetalpca AT karencalbright circleofwillisvariantsfetalpca AT ameliakboehme circleofwillisvariantsfetalpca AT sherylmartinschild circleofwillisvariantsfetalpca |