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The 'Herald Hemiparesis' of Basilar Artery Occlusion

The 'Herald Hemiparesis' of Basilar Artery Occlusion Abstract • In thrombosis of the basilar artery, not infrequently a hemiparesis is present at an early stage, when brain-stem signs may be absent or few, slight or equivocal. It is natural to suspect that such a hemiparesis signifies localization in a cerebral hemisphere, but unexpectedly in a few hours bilateral hemiplegia appears associated with coma or a locked-in syndrome, indicating basilar artery occlusion. I would term this disarming hemiparesis the "herald hemiparesis" of basilar artery occlusion. If the true nature of the condition is recognized early, the use of heparin and other measures may forestall disaster. References 1. Caplan LR, Stein RW: Stroke: A Clinical Approach . Stoneham, Mass, Butterworths, 1986, chaps 6 and 7. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

The 'Herald Hemiparesis' of Basilar Artery Occlusion

Archives of Neurology , Volume 45 (12) – Dec 1, 1988

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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1988.00520360019004
Publisher site
See Article on Publisher Site

Abstract

Abstract • In thrombosis of the basilar artery, not infrequently a hemiparesis is present at an early stage, when brain-stem signs may be absent or few, slight or equivocal. It is natural to suspect that such a hemiparesis signifies localization in a cerebral hemisphere, but unexpectedly in a few hours bilateral hemiplegia appears associated with coma or a locked-in syndrome, indicating basilar artery occlusion. I would term this disarming hemiparesis the "herald hemiparesis" of basilar artery occlusion. If the true nature of the condition is recognized early, the use of heparin and other measures may forestall disaster. References 1. Caplan LR, Stein RW: Stroke: A Clinical Approach . Stoneham, Mass, Butterworths, 1986, chaps 6 and 7.

Journal

Archives of NeurologyAmerican Medical Association

Published: Dec 1, 1988

References