Cerebrovascular disease

Baker, A. B.; Iannone, Anthony M.

doi:10.1212/wnl.9.5.321

Cited by 91 publications

(41 citation statements)

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“…The intracranial artery has been reported to have distinct characteristics compared with the extracranial carotid, coronary, and systemic arteries. [10][11][12][13] Less extensive and later occurring atherosclerosis of the intracranial artery has been explained by a difference in atherogenic response to hypercholesterolemia and greater activity of the antioxidant enzymes within the intracranial arteries. 12,13 Furthermore, substantial global variation in the relative burden of stroke compared with ischemic heart disease may exist.…”

Section: Discussionmentioning

confidence: 99%

“…Pathological studies showed that the intracranial arteries differ from the carotid and coronary arteries both anatomically and physiologically. [10][11][12][13][14] In addition, pathological studies revealed differential responses to the vascular risk factors between the intra-and extracranial arteries 12 and a poor correlation between stenosis and histological phenotype in intracranial atherosclerosis. 15 Acute cerebral infarction caused by intracranial atherosclerosis differs from myocardial infarction and ischemic stroke caused by the extracranial arteries.…”

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confidence: 99%

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Echoing Plaque Activity of the Coronary and Intracranial Arteries in Patients With Stroke

Chung

Bang

Lee

et al. 2016

Stroke

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Based on 339 consecutive autopsies of patients with fatalBackground and Purpose-Atherosclerosis is a systemic disease, and both coronary and intracranial atherosclerosis are common in the elderly. Unlike coronary artery disease (CAD), intracranial atherosclerotic disease can cause intracranial atherosclerotic stroke by branch occlusive disease (B-type) and coronary-type rupture of plaque (C-type). We hypothesized that plaque characteristics of intracranial arteries are associated with those of coronary arteries. Methods-Eighty-one patients with acute cerebral infarcts caused by intracranial atherosclerotic disease without history of CAD were analyzed. Asymptomatic CAD burden (number and degree of stenosis) and plaque characteristics (calcified, mixed, and noncalcified) were measured with multidetector computed tomography, whereas the asymptomatic intracranial atherosclerotic disease burden was measured using magnetic resonance angiography. The symptomatic intracranial artery was analyzed using high-resolution magnetic resonance imaging for vascular morphology (stenosis degree, remodeling index, and wall index) and plaque activation (enhancement pattern and volume). Results-The asymptomatic CAD burden was correlated with the asymptomatic intracranial atherosclerotic disease burden.The overall CAD burden did not differ between B-and C-type intracranial atherosclerotic stroke. However, the prevalence of noncalcified coronary plaque was much higher in C-type intracranial atherosclerotic stroke and the presence of coronary noncalcified plaque was independently associated with C-type intracranial atherosclerotic stroke (odds ratio, 3.38; 95% confidence interval, 1.05-10.85; P=0.041). As the number of coronary noncalcified plaques increased, positive remodeling and plaque enhancement increased in the symptomatic intracranial artery on high-resolution magnetic resonance imaging. Conclusions-Plaques

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Echoing Plaque Activity of the Coronary and Intracranial Arteries in Patients With Stroke

Chung

Bang

Lee

et al. 2016

Stroke

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“…They noted that the elastic tissue increased only up to the above-mentioned age followed by deterioriation. This was also observed by Baker and lannone (1959a) and Triepel (I896) in the cerebral arteries. According to Revault (1928Revault ( , 1929, Myers and Lang (19^6), and Blumenthal,et al (195^) In view of the present studies it was thought that the shifting of the smooth muscle cells and their disorien tation in the subintimal area due to some atrophic changes which produced acid mucopolysaccharieds and collagen may lead to the pressure atrophy of the internal elastic lamina.…”

Section: Elastic Tissuesupporting

confidence: 76%

“…However, the loss of stain af finity for elastic tissue was also observed in medium-sized arteries and focally in large cerebral arteries of older animals. This condition was also observed by Baker (1937), Baker and lannone (1959a) and Smith, e_t (1951) in aorta.…”

Section: Elastic Tissuesupporting

confidence: 74%

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Extrinsic and intrinsic blood supply and histomorphological changes associated with age in the cerebral arteries and brain nuclei in dog (Canis familiaris) and pig (Sus scrofa domestica)

Nanda

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Cerebral Arterial Thrombosis in Children

Wisoff¹

1961

Arch Neurol

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Occlusive disease of the carotid and basilar arteries has been studied extensively in adults, and with the advent of cerebral angiography, accurate anatomical diagnosis during life is now possible. Moreover, this method of investigation is being used with increasing frequency in pediatric problems, with the result that arterial occlusive disease is being encountered in a higher proportion of cases than might have been suspected. This report of two cases in children with major intracranial vascular occlusion was prompted by the infrequence of well-documented cases in the literature. The necropsy findings in the fatal case are presented, a review of selected cases from the literature is included in the discussion, and emphasis is placed upon the aid afforded by carotid angiography. Report of CasesCase 1.\p=m-\An 11-year-old Negro girl with a left hemiparesis was admitted to the Bronx Municipal Hospital Center on Sept. 21, 1957. The child had been in good health and had a negative medical history except for an episode of minor head trauma one year previously. During the previous 2 weeks, she had intermittent mild right-sided headaches, but this did not interfere with her school work or usual play. On the day of admission, while at play, she suddenly developed a more severe right-sided headache and collapsed because of weakness of the left leg. The child was brought directly to the hospital.Examination.-Temperature 98 F, pulse 88, res¬ piration 16, blood pressure 120/60. The child was well developed and moderately obese. The general physical examination revealed no abnormalities. She was drowsy but well oriented and able to present the details of her illness. There was slight tenderness over the right temple. The pupils were normal, with the eyes in forced conjugate deviation to the right. There was a clear-cut dense left homonymous hemianopia. The optic fundi were normal. There was a marked left hemiparesis, including the face, with a left Babinski sign, depressed abdominal reflexes on the left, and hyporeflexia of the left arm and leg. A left-sided hemisensory defect was also present to all stimuli. The carotid pulsations in the neck were normal, and no bruit was audible in the neck or skull. Laboratory Data.-Blood cell count, including differential, and urinalysis were normal. Blood urea nitrogen was 12 mg. '% and a sickle-cell preparation was negative. Lumbar puncture re-

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Cerebrovascular disease

Cited by 91 publications

References 0 publications

Echoing Plaque Activity of the Coronary and Intracranial Arteries in Patients With Stroke

Echoing Plaque Activity of the Coronary and Intracranial Arteries in Patients With Stroke

Extrinsic and intrinsic blood supply and histomorphological changes associated with age in the cerebral arteries and brain nuclei in dog (Canis familiaris) and pig (Sus scrofa domestica)

Cerebral Arterial Thrombosis in Children

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