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Intermittent claudication of one cerebral hemisphere

From the Departments of Neurology, Lidcombe Hospital, Lidcombe (Dr.Milder) and the Prince Henry Hospital, Little Bay (Dr. Lance), NSW, Australia.

A 13-year-old girl consistently developed unilateral sensory and motor symptoms on hyperventilation, suggesting the diagnosis of hysteria. Investigation disclosed hypoplasia of one internal carotid artery and part of the circle of Willis, responsible for compromising blood flow to one hemisphere sufficiently to produce ischemic deficit during hypocapnia.

Address correspondence and reprint requests to Dr. Lance, Department of Neurology, The Prince Henry Hospital, Little Bay, NSW 2036, Australia.

Accepted for publication September 7,1983.

This article has been cited by other articles:

				A. K. Afifi, J. C. Godersky, A. Menezes, W. R. Smoker, W. E. Bell, and C. G. Jacoby Cerebral Hemiatrophy, Hypoplasia of Internal Carotid Artery, and Intracranial Aneurysm: A Rare Association Occurring in an Infant Arch Neurol, February 1, 1987; 44(2): 232 - 235. [Abstract] [PDF]