The literature reports various rates of complications from 0% to 28%1; however, the technology for cerebral angiography has gone through extensive improvement over the course of this time. Dion et al. found that in patients undergoing cerebral angiography for any cause, within the first 24 hours there was a 1.3% neurologic complication rate.2 In the ischemic stroke/transient ischemic attack population there was a 4% neurologic complication rate, with 1% of those deficits being permanent.1 Additionally, 23% of patients undergoing cerebral angiography were found to have silent infarctions on diffusion weighted imaging.3 This is important when considering the overall disease burden a patient will accumulate. TABLE 90-1 Artery, Cerebral Localization, and Physical Examination Correlations ACA, Anterior cerebral artery; MCA, middle cerebral artery; PCA, posterior cerebral artery. From Blumenfeld H. Neuroanatomy through clinical cases. Sunderland, Massachusetts: Sinauer Associates; 2002.
Cerebral Functional Anatomy and Rapid Neurologic Examination
Review of Cerebral Circulation
Functional Anatomy
Left Middle Cerebral Artery Strokes
Artery
Lobe
Sign
Right ACA
Frontal, parietal
Left leg weakness
Right MCA: superior division
Frontal, parietal
Left arm/face weakness, hemineglect
Right MCA: inferior division
Temporal, parietal
Profound hemineglect, right gaze preference
Right PCA
Temporal, occipital
Left homonymous hemianopia
Left ACA
Frontal, parietal
Right leg weakness
Left MCA: superior division
Frontal, parietal
Right face/arm weakness, nonfluent aphasia
Left MCA: inferior division
Temporal, parietal
Fluent aphasia, right visual field cut
Left PCA
Temporal, occipital
Right homonymous hemianopia
Cerebral Functional Anatomy and Rapid Neurologic Examination
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