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ple, weakness or numbness may involve the ngers and face in some episodes and only the ngers in others; or dizziness and ataxia may occur in some attacks, while in others diplopia is added to the picture In basilar artery disease, each side of the body may be affected alternately All the involved parts may be affected simultaneously, or a march or spread from one region to another may occur over a period of 10 s to a minute or a few minutes much slower than the spread of a seizure The individual attack may cease abruptly or fade gradually Lacunar Transient Ischemic Attacks It has been recognized that strokes due to occlusion of small penetrating vessels of the brain have a proclivity to be intermittent ( stuttering ) at their onset and occasionally to allow virtually complete restitution of function between discrete episodes Whether this constitutes a lacunar TIA has been debated, but it seems to us that the problem is our inability to distinguish a transitory occlusion of a small vessel from that of a larger vessel Donnan and colleagues speak of a capsular warning syndrome, which we have seen a number of times, consisting of escalating episodes of weakness in the face, arm, and leg and culminating in a capsular lacunar lesion These lacunar TIAs may stutter or remit, and there is no doubt that one or many of them may precede a lacunar stroke Mechanism of Transient Ischemic Attacks The question here, so far not satisfactarily answered, is whether low ow or embolic particles are responsible for TIAs Whatever the exact cause of the attacks, they are in most cases intimately related to vascular stenosis and, usually, to ulceration due to atherosclerosis and to thrombus formation Embolization of brin-platelet material from atherosclerotic sites may indeed be the cause of attacks in some cases, but it is dif cult to understand, in attacks of identical pattern, how successive emboli from a distance would enter the same arterial branch each time Moreover, one would expect the involved cerebral tissue to be at least partially damaged, leaving some residual signs When a single transient episode has occurred, the factor of recurrence does not enter into the diagnosis, and cerebral embolism must then be strongly considered In some cases of documented embolism, the neurologic state uctuates from normal to abnormal repeatedly for as long as 36 h, giving the appearance of TIAs ( accelerated TIAs ); in others, a de cit of several hours duration occurs, ful lling the traditional (now largely discarded) criterion of TIAs As already noted, the same sequence of events can precede lacunar infarction and seem most likely to be due to locally reduced blood ow Again, a single transitory episode, especially if it lasts longer than 1 h, and multiple episodes of different pattern, suggest embolism and must be distinguished from brief (2- to 10min) recurrent attacks of the same pattern, which suggest atherosclerosis and thrombosis in a large cerebral or feeding vessel Ophthalmoscopic observations of the retinal vessels made during episodes of transient monocular blindness show either an arrest of blood ow in the retinal arteries and breaking up of the venous columns to form a boxcar pattern or scattered bits of white material temporarily blocking the retinal arteries These observations indicate that in some cases of ischemic attacks involving the retinal vessels, a temporary, complete, or relatively complete cessation of blood ow occurs locally and that the cause is sometimes microembolism TIAs have in the past been attributed to cerebral vasospasm or to transient episodes of systemic arterial hypotension with resulting compromise of the intracranial circulation, but neither of.

configure as you would want The Pattern Wizard is the component that will be on the easy side The All Patterns and Web Templates tab offers two types of templates The Information Consumer Pattern is a template for BEx Web applications and can be used in different variations In general, this pattern includes either a table (Analysis Web item) or a graphic (Chart Web item) in which the data is displayed The pattern can also include an application toolbar that, depending on the variation of the pattern, includes various pushbuttons and functions The other option is the Small Web Template, which is a very different component that is driven by the number of data providers (DPs) you will be using, as described in the following sections The easiest of the two types to set up is the Small Web Template since it literally steps you through the configuration, providing a very fast and efficient way to set up Web templates You might not be prepared to configure the Char Web or Analysis Web items, but in either case you can accept the default view and work through the rest of the template Once you are more comfortable with these web objects you can come back and make any adjustments required The following sections describe the first three Small Web Template options on the All Patterns and Web Templates tab, after which the Information Consumer Pattern is discussed in more detail First, to refresh your memory of what the query looks like, the following illustration shows the display via the Query Designer of the query definition that we will be working with for the most part in this chapter

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