Abstract
The authors describe six patients who presented with dysarthria as their isolated or major symptom from a small cortical stroke. Five had infarction and one had hemorrhage. In the patients with ischemic stroke, the lesions were identified by diffusion-weighted MRI but not by T-2 weighted MRI. The lesions were located lateral to the precentral knob usually at the most lateral part of the imaging. The presumed pathogenesis included embolism in five patients and hypertensive hemorrhage in one.
MeSH terms
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Adult
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Aged
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Aged, 80 and over
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Anticoagulants / therapeutic use
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Cerebral Cortex / blood supply
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Cerebral Cortex / physiopathology*
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Diffusion Magnetic Resonance Imaging
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Dysarthria / diagnosis*
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Dysarthria / etiology*
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Female
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Humans
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Magnetic Resonance Angiography
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Magnetic Resonance Imaging / methods
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Male
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Middle Aged
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Platelet Aggregation Inhibitors / therapeutic use
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Risk Factors
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Sensitivity and Specificity
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Stroke / complications*
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Stroke / diagnosis*
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Stroke / drug therapy
Substances
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Anticoagulants
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Platelet Aggregation Inhibitors