KEYNOTE Lecture update Jonathan C. Horton MD PhD

Overview by – Jonathan C. Horton MD PhD, on his Keynote lecture

‘Vascular Supply of Human Striate Cortex Explains Visual Field Defects from Embolic Stroke’

to take place at SOE 2019 on 16/06/2019 @ 11:45 – 12:30

What accounts for the patterns of visual field loss present in patients after occipital stroke?  The cerebral cortex is supplied by vascular microlobules, each comprised of a half dozen penetrating arterioles that surround a central draining venule.  The surface arterioles that feed the penetrating arterioles are interconnected via an extensively anastomotic plexus.  Embolic occlusion of a small surface arteriole rarely produces a local infarct, because collateral blood flow is available through the vascular reticulum.  Collateral flow also protects against infarct after occlusion of a single penetrating arteriole.  Cortical infarction requires blockage of a major arterial trunk, with arrest of blood flow to a relatively large vascular territory.  For striate cortex, the major vessels compromised by emboli are the inferior calcarine and superior calcarine arteries, as well as the distal branches of the middle cerebral artery.  Their vascular territories have a fairly consistent relationship with the retinotopic map.  Consequently, occlusion by emboli results in stereotypical visual field defects.  The organization of the arterial supply to the occipital lobe provides an anatomical explanation for a phenomenon that has long puzzled neuro-ophthalmologists, namely, that of the myriad potential patterns of cortical visual field loss, only a few are encountered commonly from embolic cortical stroke.

For a brief biography for Jonathan C. Horton MD PhD go to
For all SOE 2019 Congress details go to