The neglect of the small intracranial occlusion is due in part to the emphasis placed on the extracranial cerebral vessels while this may be a justifiable approach for the surgeon the function of the radiologist is to make an anatomical diagnosis irrespective of the popularity of the disease or the possibilities of definitive treatment. The neglected cause of stroke occlusion of the smaller intracranial arteries and their diagnosis by cerebral angiography benjamin albert ring home worldcat home about worldcat help search search for library items search for lists search for contacts . Occlusion of small intracranial arteries as a cause of stroke b albert ringmd and margaretm waddingtonmd a patient with an acute stroke had gerstmanns syn drome cerebral angiography disclosed occlusion of the posterior parietal branch of the middle cerebral artery the patient has remained physically well over a threexreq year period with only slight residual impairment in the. Occlusions of the small intracranial vessels have the unfortunate position of the neglected stepchild in relation to cerebral vascular disease. Occlusion of single penetrating branches of the middle and anterior cerebral arteries that supply the deep white and gray matter produce the lacunar type of stroke these occlusions account for as many as 20 of ischemic strokes
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