territoire jonctionnel

English translation: watershed area

17:35 Jan 16, 2021
French to English translations [PRO]
Medical - Medical (general)
French term or phrase: territoire jonctionnel
I'm not entirely sure about 'jonctionnel' -
le patient présente un accident vasculaire cérébral (AVC), caractérisé cliniquement par une hémiplégie gauche et objectivé à l’imagerie (IRM) par de nombreux infarctus cérébraux récents de petites tailles (territoires sylvien et jonctionnel droits)
... and later in the same document:
Hypersignaux avec restriction du coefficient de diffusion apparent au niveau des territoires sylvien superficiel droit, jonctionnels antérieur et postérieur droits, témoignant d’infarctus cérébraux multiples récents

My feeling is that it may simply mean the communicating artery? I'd welcome any proof of this or any alternate suggestions. Thanks.
pennylyd
United Kingdom
Local time: 03:02
English translation:watershed area
Explanation:
https://www.neurovascularmedicine.com/watershed.php
A watershed infarct is a stroke caused by a drop in circulating pressure and or volume that results in critical ischaemia or infarction between territories. Classically between MCA and ACA or MCA and PCA. The actual blood stream blockage/restriction site can be located far away from the infarct.

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Note added at 20 hrs (2021-01-17 13:38:15 GMT)
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https://www.medscape.com/answers/338385-168939/what-are-wate...

Vascular watershed or border-zone infarctions occur at the most distal areas between arterial territories (see the image below). They are believed to be secondary to embolic phenomenon or due to severe hypoperfusion, such as in carotid occlusion or prolonged hypotension. [21, 22]

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Note added at 20 hrs (2021-01-17 13:51:51 GMT)
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the major arteries supplying the cerebrum are the middle cerebral artery, anterior cerebral artery, and posterior cerebral artery. "Jonctionnel"refers to tissue at the extremities of the regions supplied by these arteries, where one arterial territory meets another.

My first reference has an image of watershed areas/border zone (see under Images)

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Note added at 20 hrs (2021-01-17 14:00:53 GMT)
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https://www.ahajournals.org/doi/full/10.1161/01.str.00001557...

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Note added at 20 hrs (2021-01-17 14:02:15 GMT)
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Susceptibility of the WS areas is thought to result from their situation of “distal field,” where perfusion pressure is lowest
Selected response from:

Sue Davis
France
Local time: 04:02
Grading comment
Thanks - this seemed to fit my context - thanks for the references
4 KudoZ points were awarded for this answer



Summary of answers provided
4 +1watershed area
Sue Davis
4carotid and middle cerebral arteries
liz askew
3 -1junction territory
José Patrício


Discussion entries: 1





  

Answers


3 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): -1
junction territory


Explanation:
junction territory/area
The human temporoparietal junction (TPJ) is a supramodal association area located at the intersection of the posterior end of the superior temporal sulcus, the inferior parietal lobule, and the lateral occipital cortex - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4791048/#:~:tex...
temporo-parietal junction (TPJ) territory - https://www.researchgate.net/publication/263015071_The_role_...
The lateral sulcus (also called Sylvian fissure or lateral fissure) is one of the most prominent features of the human brain - https://en.wikipedia.org/wiki/Lateral_sulcus
The superior temporal branch (Fig. 1-8) is usually the strongest cortical branch of the middle cerebral artery and its further continuation in the area of the cortex. - http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100...
Having left the Sylvian fissure, it runs towards the middle Suprasylvian sulcus and further to the upper margin of the cerebral hemisphere - the same link
The CT scans show a hypodensity primarily affecting the territory of the superior division of the right middle cerebral artery, involving the right frontal lobe above the Sylvian fissure. - https://case.edu/med/neurology/NR/mcasuperior.htm
Cette zone du cerveau appelée jonction temporo-pariétale (TPJ) qui se situe à la réunion des lobes temporal and pariétal explique les différences extrêmes d'altruisme d’un individu à l’autre - https://www.santelog.com/actualites/laltruisme-juste-une-que...
The temporoparietal junction (TPJ) is an area of the brain where the temporal and parietal lobes meet, at the posterior end of the lateral sulcus (Sylvian fissure). - https://www.google.com/search?client=avast&q=jonction territ...
The superior (upper or suprasylvian) MCA branch gives rise to several arteries that supply much of the lateral and inferior frontal lobe and the anterior lateral parts of the parietal lobe - https://www.umassmed.edu/strokestop/modules/module-3-the-blo...

José Patrício
Portugal
Local time: 03:02
Native speaker of: Native in PortuguesePortuguese
PRO pts in category: 20

Peer comments on this answer (and responses from the answerer)
disagree  liz askew: see my answer
6 days
Login to enter a peer comment (or grade)

20 hrs   confidence: Answerer confidence 4/5Answerer confidence 4/5 peer agreement (net): +1
watershed area


Explanation:
https://www.neurovascularmedicine.com/watershed.php
A watershed infarct is a stroke caused by a drop in circulating pressure and or volume that results in critical ischaemia or infarction between territories. Classically between MCA and ACA or MCA and PCA. The actual blood stream blockage/restriction site can be located far away from the infarct.

--------------------------------------------------
Note added at 20 hrs (2021-01-17 13:38:15 GMT)
--------------------------------------------------

https://www.medscape.com/answers/338385-168939/what-are-wate...

Vascular watershed or border-zone infarctions occur at the most distal areas between arterial territories (see the image below). They are believed to be secondary to embolic phenomenon or due to severe hypoperfusion, such as in carotid occlusion or prolonged hypotension. [21, 22]

--------------------------------------------------
Note added at 20 hrs (2021-01-17 13:51:51 GMT)
--------------------------------------------------

the major arteries supplying the cerebrum are the middle cerebral artery, anterior cerebral artery, and posterior cerebral artery. "Jonctionnel"refers to tissue at the extremities of the regions supplied by these arteries, where one arterial territory meets another.

My first reference has an image of watershed areas/border zone (see under Images)

--------------------------------------------------
Note added at 20 hrs (2021-01-17 14:00:53 GMT)
--------------------------------------------------

https://www.ahajournals.org/doi/full/10.1161/01.str.00001557...

--------------------------------------------------
Note added at 20 hrs (2021-01-17 14:02:15 GMT)
--------------------------------------------------

Susceptibility of the WS areas is thought to result from their situation of “distal field,” where perfusion pressure is lowest

Sue Davis
France
Local time: 04:02
Specializes in field
Native speaker of: Native in EnglishEnglish
PRO pts in category: 880
Grading comment
Thanks - this seemed to fit my context - thanks for the references

Peer comments on this answer (and responses from the answerer)
agree  liz askew: Middle/Anterior Cerebral Watershed Infarction - Case 2 The area between two vascular territories is known as a watershed. ... Thus, if a patient has severe, hemodynamically significant carotid stenosis, then ischemia first occurs between the terminal terr
6 days
  -> Thanks Liz
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6 days   confidence: Answerer confidence 4/5Answerer confidence 4/5
carotid and middle cerebral arteries


Explanation:


Physiopathologie des infarctus cérébraux ... - DUMAS
dumas.ccsd.cnrs.fr › dumas-01287020 › document

1.
2.
PDF
11 Mar 2016 — Physiopathologie des infarctus cérébraux jonctionnels: une étude clinico- ... sur qui chacun peut compter et qui force le respect de nombreux ... ischémique transitoire ou d'un AVC de petite taille (117–119), ... un déficit neurologique récent ... cérébrale dans le territoire sylvien droit, superposable à un ...

INTRODUCTION : Les infarctus cérébraux jonctionnels (ICJ) sont souvent dus à une sténose de l’axe carotidosylvien. Leur physiopathologie est discutée selon leur pattern radiologique entre mécanisme embolique ou hémodynamique. Dans la littérature, les ICJ corticaux (ICJc) seraient préférentiellement emboliques. Les ICJ profonds (ICJp) seraient, quant à eux, d’origine purement hémodynamique. Nous nous proposons d’étudier cette hypothèse en imagerie par IRM 3DTOF



The probability of middle cerebral artery MRA flow signal ...
jnnp.bmj.com › content

We assessed the sensitivity and specificity of the hyperdense middle cerebral artery ... carotid artery and/or middle cerebral artery in an acute ischaemic stroke ... the

liz askew
United Kingdom
Local time: 03:02
Specializes in field
Native speaker of: Native in EnglishEnglish
PRO pts in category: 3189
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