Watershed cerebral infarction

Watershed infarcts LITFL CCC Neurology Apr 1 20Watershed infarcts result from severe hypotensive insults. They occur in areas with relatively poor blood supply at the boundaries between territories of cerebral arteries or their branches. Watershed stroke - Sep 2 20There are two types of WI: cortical WI, occurring at the junction between cortical territories of the anterior, middle and posterior cerebral arteries and internal WI, occurring in the white matter between the deep and superficial perfusion systems of the middle cerebral artery. These strokes may often be preceded by specifically precipitating circumstances that induce hypotension andor hypovolemia (rising from a supine position).

The condition resembles that of an agricultural field irrigation system, in which the most distant sections may not be irrigated if. Classic neuropathologic studies describe distinct supratentorial WS areas: (1) between the cortical territories of the anterior cerebral artery (ACA middle cerebral artery (MCA and posterior cerebral artery (PCA and (2) in the white matter along and slightly above the lateral ventricle.

Watershed infarcts LITFL CCC Neurology

Watershed infarction definition is - a localized area of ischemic tissue death in an area of the brain situated at the farthest point of blood supply from two separate cerebral arterial systems that is caused by inadequate blood flow (as from low blood pressure, vasculitis, or blood clot obstruction). Watershed infarct: w trshed an area of necrosis in the brain caused by an insufficiency of blood where the distributions of cerebral arteries overlap. Watershed infarcts involve the junction of the distal fields of nonanastomosing arterial systems.

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