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Disorders of the Cerebrovascular System

  • Larry E. DavisEmail author
  • Sarah Pirio Richardson
Chapter

Abstract

The chapter begins with a discussion of common major clinical features and mechanisms of damage to the cerebrovascular system. Stroke is a general term that implies damage to cerebral tissue from insufficient blood to the brain (ischemic stroke or infarction), abnormal excess blood (hemorrhagic stroke or cerebral hemorrhage), or inadequate venous drainage of cerebral blood (venous stroke). Together, these act as the third leading cause of death in the USA. Signs and symptoms produced by strokes depend on which part of the brain is affected and whether the stroke causes increased intracranial pressure. This chapter further discusses the most common types of cerebrovascular disease: transient ischemic attack, ischemic or hemorrhagic stroke, and intracerebral hemorrhages from hypertension, aneurysms, and amyloidosis. Attention is given to their pathophysiology, major clinical features, major laboratory findings, and principles of management and prognosis.

Keywords

Stroke Cerebral ischemia Cerebral hemorrhage Saccular aneurysm Hypertensive hemorrhage Transient ischemic attack Cerebral embolism Cerebral thrombosis Ischemic penumbra Border zone or watershed infarction Lacunar stroke Subarachnoid hemorrhage 

Supplementary material

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Recommended Reading

  1. Davis SM, Donnan GA. Secondary prevention after ischemic stroke or transient ischemic attack. N Eng J Med 2012;366:1914–22. (Current review of methods to prevent strokes)CrossRefGoogle Scholar
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Copyright information

© Springer Science+Business Media, LLC 2015

Authors and Affiliations

  1. 1.Chief Neurology ServiceDistinguished Professor of Neurology New Mexico VA Health Care SystemAlbuquerqueUSA
  2. 2.Department of Neurology Health Sciences CenterUniversity of New MexicoAlbuquerqueUSA

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