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caudate infarction/lesion
Pathology:
- ischemic stroke involving lenticulostriate artery resulting in infarction of the caudate nucleus
Clinical manifestations:
1) memory deficits
2) attention deficit
3) deficit in verbal fluency
4) deficits in executive function
5) deficits in set shifting
6) lesion in the head of the caudate nucleus
a) confusion
b) abulia
c) sudden onset of apathy
d) slowness of thoughts & movements
e) restlessness & agitation (occasional)
f) decreased attention
g) motor symptoms generally mild & transient
-> result from extension to involve anterior limb of the internal capsule & putamen
Related
caudate nucleus
vascular dementia
General
stroke; cerebrovascular accident (CVA)
References
- McPherson SE & Cummings JL, Vascular Dementia, Clinical
Assessment, Neuropsychologic Features, and Treatment. in:
Handbook of Neuropsychology & Aging, Plenum Press, New York,
1997
- Medical Knowledge Self Assessment Program (MKSAP) 11, American
College of Physicians, Philadelphia 1998