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“Top of the basilar” syndrome
Open accessAbstract
Infarction of rostral brainstem and cerebral hemispheral regions fed by the distal basilar artery causes a clinically recognizable syndrome characterized by visual, oculomotor, and behavioral abnormalities, often without significant motor dysfunction. Rostral brainstem infarction produces oculomotor and pupillary signs that are identical to those in thalamic hemorrhage. Somnolence, vivid hallucinations and dreamlike behavior may also accompany rostral brainstem infarction. Temporal and occipital infarctions are frequently accompanied by hemianopia with distinctive characteristics, fragments of the Balint syndrome, amnestic dysfunction, and agitated behavior. The "top of the basilar" syndrome is most often due to an embolus.
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Citations
Cited by
A Reversible Posterior Leukoencephalopathy Syndrome
Hinchey, J., Chaves, C., Appignani, B., Breen, J., Pao, L., Wang, A., Pessin, M. S., Lamy, C., Mas, J.-L., & Caplan, L. R. (1996) · New England Journal of Medicine · doi:10.1056/nejm199602223340803 · Cited by 3,340
Self-citationClassification and natural history of clinically identifiable subtypes of cerebral infarction
Bamford, J., Sandercock, P., Dennis, M., Warlow, C., & Burn, J. (1991) · The Lancet · doi:10.1016/0140-6736(91)93206-o · Cited by 3,294
Savitz, S. I., & Caplan, L. R. (2005) · New England Journal of Medicine · doi:10.1056/nejmra041544 · Cited by 485
Self-citationBitton, A., Choudhry, N. K., Matlin, O. S., Swanton, K., & Shrank, W. H. (2013) · The American Journal of Medicine · doi:10.1016/j.amjmed.2012.09.004 · Cited by 256
Metadata
- Authors
- Caplan, L. R.
- Venue
- Neurology
- Published
- 1980-01
- Volume
- 30
- Issue
- 1
- Pages
- 72-72
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W1977318691
- Cited by
- 496
- References
- 0
- FWCI
- 2.87
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Caplan, L. R. (1980). “Top of the basilar” syndrome. Neurology. https://doi.org/10.1212/wnl.30.1.72
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