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A Possible Remedy for Post Stroke Confusion

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Stroke Medicine

Abstract

Vascular cognitive impairment has several different causes but the clinical co-relation between carotid artery disease and cognitive impairment was first proposed by Fisher, based on a necropsy case.

He postulated that carotid occlusive disease can produce dementia and cognitive impairment through hypoperfusion alone and restoration of blood flow can improve condition. This case explores this important relationship and the consequences of recognizing this as a possibly reversible condition. It also highlights the overlap with post-stroke delirium and the potential for treatment.

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References

  1. Bowler JV. The concept of vascular cognitive impairment. J Neurol Sci. 2002;203:11–5.

    Article  PubMed  Google Scholar 

  2. Fisher C. Senile dementia – a new explanation of its causation. Arch Neurol. 1951;65:1–7.

    Article  CAS  Google Scholar 

  3. Baracchini C, Mazzalai F, Gruppo M, et al. Carotid endarterectomy protects elderly patients from cognitive decline. Surgery. 2012;151(1):99–106.

    Article  PubMed  Google Scholar 

  4. Vermeer SE, Prins ND, Den Heijer T, et al. Silent brain infarcts and risk of dementia and cognitive decline. N Engl J Med. 2003;348:1215–22.

    Article  PubMed  Google Scholar 

  5. Bernick C, Kuller L, Dulberg C. Silent MRI infarcts and risk of future strokes. The endovascular health study. Neurology. 2001;57:1222–9.

    Article  CAS  PubMed  Google Scholar 

  6. Desmond DW, Moroney JT, Sano M, et al. Incidence of dementia after stroke. Stroke. 2002;363:1491–502.

    Google Scholar 

  7. Norris JW, Zhu CZ. Silent stroke and carotid stenosis. Stroke. 1992;23:483–5.

    Article  CAS  PubMed  Google Scholar 

  8. Marshall RS, Lazer RM, Pile-Spellman J, et al. Recovery of brain function during induced cerebral hypoperfusion. Brain. 2001;124:1208–17.

    Google Scholar 

  9. Marshall RS. The functional relevance of cerebral hemodynamics: Why blood flow matters to injured and recovering brain. Curr Opin Neurol. 2004;17:705–9.

    Article  PubMed  Google Scholar 

  10. Demarin V, Zavoreo I, Kes VB. Carotid artery disease and cognitive impairment. J Neurol Sci. 2012;322:107–11.

    Article  PubMed  Google Scholar 

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Shoaib, R.F. et al. (2015). A Possible Remedy for Post Stroke Confusion. In: Gill, S., Brown, M., Robertson, F., Losseff, N. (eds) Stroke Medicine. Springer, London. https://doi.org/10.1007/978-1-4471-6705-1_26

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  • DOI: https://doi.org/10.1007/978-1-4471-6705-1_26

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6704-4

  • Online ISBN: 978-1-4471-6705-1

  • eBook Packages: MedicineMedicine (R0)

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