Posterior cerebral artery syndrome
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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| Posterior cerebral artery syndrome | |
|---|---|
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Visual field loss, thalamic pain, hemiparesis, dyslexia |
| Complications | Cognitive impairment, memory loss |
| Onset | Sudden |
| Duration | Variable |
| Types | N/A |
| Causes | Ischemic stroke, embolism, thrombosis |
| Risks | Hypertension, diabetes mellitus, hyperlipidemia, smoking |
| Diagnosis | MRI, CT scan |
| Differential diagnosis | Migraine, temporal lobe epilepsy, occipital lobe tumor |
| Prevention | N/A |
| Treatment | Anticoagulant, antiplatelet therapy, thrombolysis |
| Medication | N/A |
| Prognosis | Variable, depends on extent of damage |
| Frequency | Rare |
| Deaths | N/A |
Posterior Cerebral Artery Syndrome is a medical condition that occurs when the blood flow to the posterior cerebral artery (PCA) is disrupted, often due to a stroke. This can lead to a variety of symptoms, including visual field defects, hemianopia, and cortical blindness.
Causes
The most common cause of Posterior Cerebral Artery Syndrome is a stroke, which can occur when the blood supply to part of the brain is cut off. Other causes can include aneurysm, arteriovenous malformation, and vasculitis.
Symptoms
The symptoms of Posterior Cerebral Artery Syndrome can vary depending on the extent of the damage and the specific areas of the brain affected. Common symptoms can include:
- Visual field defects: This can include hemianopia, where half of the visual field is lost, or cortical blindness, where the patient is unable to perceive visual information despite having normal eye function.
- Memory loss: This can occur if the damage affects the hippocampus, which is involved in memory formation.
- Motor deficits: This can include weakness or paralysis on one side of the body (hemiparesis), or difficulty with coordination and balance (ataxia).
Diagnosis
Diagnosis of Posterior Cerebral Artery Syndrome typically involves a combination of clinical examination and imaging tests. This can include a CT scan or MRI to visualize the brain and identify any areas of damage.
Treatment
Treatment for Posterior Cerebral Artery Syndrome typically involves addressing the underlying cause of the condition. This can include medications to treat a stroke, surgery to repair an aneurysm, or therapies to manage symptoms such as physical therapy for motor deficits or occupational therapy for visual field defects.
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Contributors: Prab R. Tumpati, MD