Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0018991 (hemiplegia)
 3,997 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Anastomoses between carotid and vertebrobasilar vascular bed in extracranial region are less usual compensatory anastomoses of the brain vascular bed. They are either langer compensatory arteries--a. hypoglossica primitiva or a. proatlantica or smaller anastomoses between a. carotis externa and a. vertebralis. A precise differential diagnosis is difficult, as it requires selective catheterization of a. carotis externa, interna, a. vertebralis, or arcography. The paper demonstrates two cases. In a 75 years old man with symptoms of vertebrobasilar insufficiency there was a substantial filling of the whole vertebrobasilar vascular bed in puncture of a. carotis communis. In a 14 years old girl with coarctation of the aorta, acute hemiplegia and occlusion of a. carotis interna in supraclinoideal area there was a conspicuous abnormal filling of large veins in dorsal part of the neck and filling of the atlas loop of a. vertebralis. Selective catheterization could not be performed. The author is of the opinion that the case was an anastomosis between a. occipitalis and a. vertebralis.
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PMID:[Carotid-vertebrobasilar anastomosis]. 263 25

Migraine can be associated with hemiplegia, ophthalmoplegia, retinal and vertebrobasilar insufficiency, amnesia, confusion, altered perception, stupor and even death. Migrainous complications must be differentiated from structural lesions, metabolic disorders, convulsive states are cerebrovascular thromboembolism. Treatment of complicated migraine is directed toward prophylaxis of vasoconstriction. Agents that produce vasoconstriction, such as ergot preparations, and known migraine precipitants should be avoided in migraineurs.
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PMID:Neurologic complications of migraine. 712 78

Bow hunter's syndrome, or rotational vertebral artery (VA) occlusion, refers to vertebrobasilar insufficiency due to mechanical occlusion of the VA. We present a case of surgical treatment for bow hunter's syndrome that occurred after cervical laminoplasty in a patient with rheumatoid arthritis with bony ankylosis of the facet joints. A 59-year-old female with rheumatoid arthritis experienced sudden incomplete left hemiplegia. Fifteen months earlier, the patient had undergone cervical decompression surgery between C3 and C7. MRI of the head showed cerebral infarction in the right VA area, while vertebral angiography with the head rotated to the right revealed that the right VA was occluded at the level of C3-C4. The patient was successfully treated via posterior cervical fusion from C2 to C7. Patients with rheumatoid arthritis have a potential risk of cervical bony ankyloses. Cervical laminoplasty for patients with cervical bony ankyloses can induce rotational VA occlusion due to spinal rotational instability.
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PMID:Bow hunter's syndrome after cervical laminoplasty in a patient with rheumatoid arthritis with bony ankylosis in the cervical spine: a case report. 3308 70