Advertisement

Zerebrale Arteriosklerose

  • James F. Toole
  • Aneel N. Patel

Zusammenfassung

Aus Klassifikationsgründen werden die in-trakraniellen Äste der Karotis und der Verte-bralarterien üblicherweise von ihren extra-kraniellen Arterienstämmen getrennt betrachtet. Diese künstliche Trennung besitzt keine vernünftige anatomische oder physiologische Grundlage, da das aorto-kraniale System von seinem thorakalen Ursprung bis zum intrakraniellen Kapillarbett praktisch als Einheit funktioniert. Wegen des Sprachgebrauchs hat sich von altersher eine Unmenge an Literatur über die „zerebrale“Arteriosklerose angesammelt, und man hat oft den Eindruck, als führe sie ein gesondertes Dasein. Nichts könnte von der Wahrheit weiter entfernt sein (Abb. 13.1)!

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

Allgemeines

  1. Adler, E., Adler, C., Magora, A, Shanan, J., Tal, E.: Stroke in Israel 1957–1961: Epidemiological, Clinical, Rehabilitation and Psycho-Social Aspects, Polypress, Ltd., Jerusalem, 1969Google Scholar
  2. Baker, A. B., Flora, G. C., Resch, J. A., Loewenson, R.: The geographic pathology of atherosclerosis: A review of the literature with some personal observations on cerebral atherosclerosis. J. Chronic Diseases. 20, 685 (1967)CrossRefGoogle Scholar
  3. Eisenblätter, D.: Diagnostik und Behandlung der zerebralen Kreislaufstörungen als gemeinsames Problem der Neurologie und der inneren Medizin aus internistischer Sicht. Z. ärztl. Fortbild (Jena) 70, 86 (1976)Google Scholar
  4. Gänshirt, H.: Hirnarteriosklerose aus nervenärztlicher Sicht. Med. Welt 24, 1688 (1973 a)Google Scholar
  5. Heyden, S., Heyman, A., Camplong, L.: Mortality patterns among parents of patients with atherosclerotic cerebrovascular disease. J. Chronic Diseases. 22, 105 (1969)CrossRefGoogle Scholar
  6. Kannel, W. B.: Current status of the epidemiology of brain infarction associated with occlusive arterial disease. Stroke. 2, 295 (1971)PubMedCrossRefGoogle Scholar
  7. Kurtzke, J. F.: Epidemiology of Cerebrovascular Disease, New York: Springer 1969Google Scholar
  8. Malmros, H.: Dietary prevention of atherosclerosis. Lancet. 1, 94 (1970)PubMedCrossRefGoogle Scholar
  9. Mints, A. Ya., Sachuk, N. N.: Studies of cerebral atherosclerosis in old and very individuals. Federal Proc. Trans. Suppl. 24, (6) (part 2) T967 1965Google Scholar
  10. Moossy, J.: Cerebral atherosclerosis: Intracranial and extracranial lesions. In: Pathology of the Nervous System, vol. 2, (ed. Minckler, J.) pp. 1423–1432. New York: McGraw-Hill 1971Google Scholar
  11. Pfaffenbarger, R. S., Jr., Laughlin, M. E., Gima, A. S., Black, R. A.: Work activity of longshoremen as related to death from coronary heart diesease and stroke. New Engl. J. Med. 282, 1109 (1970)CrossRefGoogle Scholar
  12. Stallones, R. A.: Epidemiology of cerebrovascular disease. A. review. J. Chronic Diseases. 18, 859 (1965)CrossRefGoogle Scholar
  13. Strong, J. P., McGill, H. C., Jr.: The pediatric aspects of atherosclerosis. J. Atheroscler. Res. 9, 251 (1969)PubMedCrossRefGoogle Scholar
  14. Wallace, D. C.: The natural history of cerebral vascular disease. Am. Heart J. 75, 285 (1968)PubMedCrossRefGoogle Scholar

Pathophysiologie

  1. Di Chiro, G., Libow, L. S.: Carotid siphon calcification and cerebral blood flow in the healthy aged male. Radiology. 99, 103 (1971)PubMedGoogle Scholar
  2. Hassler, O.: Vascular changes in senile brains: A micro-angiographic study. Acta neuropathol. (Berlin). 5, 40 (1965)PubMedCrossRefGoogle Scholar
  3. Hedlund, S., Köhler, V., Nylin, G., Olsson, R., Regnström, O., Rothström, E., Aström, K. E.: Cerebral blood circulation in dementia. Acta psychiat. scand. 40, 11 (1964)CrossRefGoogle Scholar

Pathologisch-anatomische Befunde

  1. Adams, R. D.: Pathology of cerebral vascular diseases. B. Cranial cerebral lesions. In: Cerebral Vascular Diseases, Transactions of the Second Princeton Conference. (ed. Millikan, C. H.) pp. 23–39. New York: Grune & Stratton 1958Google Scholar
  2. Beneke, G., Mohr, W.: Pathologische Anatomie der zerebralen Durchblutungsstörungen. Med. Welt. 27, 677–682 (1976)PubMedGoogle Scholar
  3. Blackwood, W., Hallpike, J. F., Kocen, R. S., Mair, W. G. P.: Atheromatous disease of the carotid arterial system and embolism from the heart in cerebral infarction: A morbid anatomical study. Brain. 92, 897 (1969)PubMedCrossRefGoogle Scholar
  4. Fisher, C. M.: The arterial lesions underlying lacunes. Acta neuropathol. (Berlin). 12, 1 (1969)CrossRefGoogle Scholar
  5. Flora, G. C., Baker, A. B., Loewenson, R. B., Klassen, A. C.: A comparative study of cerebral atherosclerosis in males and females. Circulation. 38, 859 (1968)PubMedGoogle Scholar
  6. Grunnet, M.: Changes in cerebral arteries with aging. Arch. Pathol. 88, 314 (1969)PubMedGoogle Scholar
  7. Moossy, J.: Cerebral infarcts and the lesions of intracranial and extracranial atherosclerosis. Arch. Neurol. 14, 124 (1966)PubMedGoogle Scholar
  8. Ule, G., Kolkmann, F. W.: Pathologische Anatomie des Hirngefäßsystems. In: Der Hirnkreislauf, (Hrsg. Gänshirt, H.) Stuttgart: Thieme 1972Google Scholar

Klinische Besonderheiten

  1. Ang, R. T., Utterback, R. A.: Seizures with onset after forty years of age; role of cerebrovascular diesease. South. Med. J. 59, 1404 (1966)PubMedCrossRefGoogle Scholar
  2. Aring, C. D.: Supranuclear (pseudobulbar) palsy. Arch. Internal Med. 115, 198 (1965)Google Scholar
  3. Brueckner, G. W., Graf, U. W., Jansen, W.: Psychometrische Beurteilung der Behandlung zerebraler Dekompensationserscheinungen alter Menschen. Therapiewoche 25/24, 3420 (1975)Google Scholar
  4. Evans, J. H.: Transient loss of memory, an organic mental syndrome. Brain. 89, 539 (1966)PubMedCrossRefGoogle Scholar
  5. Faris, A. A.: Kimbic system infarction. A report of two cases. Neurology. 19, 91 (1969)PubMedGoogle Scholar
  6. Fisher, C. M., Curry, H. B.: Pure motor hemiplegia of vascular origin. Arch. Neurol. 13, 30 (1965)PubMedGoogle Scholar
  7. Fisher, C. M., Adams, R. D.: Transient global amnesia. Acta neurol. scand. 40, (suppl. 9) 7 (1964)Google Scholar
  8. Gänshirt, H. (Hrsg.): Der Hirnkreislauf. Physiologie, Pathologie, Klinik Stuttgart: Thieme 1972Google Scholar
  9. Gänshirt, H.: Hirnarteriosklerose aus nervenärztlicher Sicht Med. Welt 24, 1688 (1973 a)Google Scholar
  10. Hänlein, P., Regli, F., Haferkamp, G.: Der lakunäre Hirninfarkt. Beitrag zur Klinik und Pathogenese. Schweiz, med. Wschr. 105, 705 (1975)Google Scholar
  11. Lhermitte, F., Gautier, J.-C., Derouesné, C.: Nature of occlusions of the middle cerebral artery. Neurology. 20, 82 (1970)PubMedGoogle Scholar
  12. Pencz, A., Schreyer, M.: Orbitapulsanalysen bei Gefäß-gesunden und Patienten mit Hirnarteriosklerose. Z. Kardiol. 64, 661 (1975)PubMedGoogle Scholar
  13. Sindermann, F., Dichgans, J. Bergleiter, R.: Occlusion of the middle cerebral artery and its branches: Angiographic and clinical correlates. Brain. 92, 607 (1969)PubMedCrossRefGoogle Scholar
  14. Waddington, M. M., Ring, B. A.: Syndromes of occlusions of middle cerebral artery branches. Angrio-graphic and clinical correlation. Brain. 91, 685 (1968)PubMedCrossRefGoogle Scholar
  15. Wood, M. W., Murphey, F.: Obstructive hydrocephalus due to infarction of a cerebellar hemisphere. J. Neurosurg. 30, 260 (1969)PubMedCrossRefGoogle Scholar

Demenz

  1. Benton, A. L. (ed.): Behavioral Changes in Cerebrovascular Disease, Harper & Row, Publishers, New York, 1970Google Scholar
  2. Boudin, G., Brion, S., Pépin, B., Barbizet, J.: Syndrome de Korsakoff d’étiologie arteriopathique, par lésion bilatérale, asymetrique du système limbique. Rev. neurol. 119, 341 (1968)PubMedGoogle Scholar
  3. Ekbom, K., Greitz, T., Kugelberg, E.: Hydrocephalus due to ectasia of the basilar artery. J. Neurol. Sci. 8, 465 (1969)PubMedCrossRefGoogle Scholar
  4. Karp, H. R.: Dementia in cerebrovascular disease and other systemic illnesses. Current Concepts Cerebrovascular Dis.-Stroke. 7, 11 (1972)Google Scholar
  5. Torvik, A., Endresen, G. K. M., Abrahamsen, A. F., Godai, H. C.: Progressive dementia caused by an unusual type of generalized small vessel thrombosis. Acta neurol. scand. 47, 137 (1971)PubMedCrossRefGoogle Scholar
  6. Victor, M.: The amnesic syndrome and its anatomical basis. Can. Med. J. 100, 1115 (1969)Google Scholar
  7. Victor, M., Adams, R. D., Cole, M.: The acquired (non-Wilsonian) type of chronic hepatocerebral degeneration. Medicine. 44, 345 (1965)PubMedCrossRefGoogle Scholar

Binswang er-Krankheit

  1. Van Bogaert, L., Martin, J.-J.: Analyse critique de la pathologie de l’angiomatose cerebroméningée diffuse noncalcifiante et de l’encéphalopathie de Bins-wanger. J. Neurol. Sci. 14, 301 (1971)PubMedCrossRefGoogle Scholar

Parkinsonismus

  1. Eadie, M. J., Sutherland, J. M.: Arteriosclerosis in Parkinsonism. J. Neurol. Neurosurg. Psychiat. 27, 237 (1964)PubMedCrossRefGoogle Scholar

Hirnnervenlähmungen

  1. Gardner, W. J., Sava, G. A.: Hemifacial spasm — A reversible pathophysiologic state. J. Neurosurg. 19, 240 (1962)CrossRefGoogle Scholar

Differentialdiagnose

  1. Adams, R. D., Fisher, C. M., Hakim, S., Ojemann, R. G., Sweet, W. H.: Symptomatic occult hydrocephalus with “normal” cerebrospinal-fluid pressure: A treatable syndrome. New Engl. J. Med. 273, 117 (1965)PubMedCrossRefGoogle Scholar
  2. Aita, J. A.: Neurologic Manifestations of General Diseases. Charles C Thomas, Publisher, Springfield, Ill, 1964Google Scholar
  3. Hill, M. E., Lougheed, W. M., Barnett, H. J. M.: A treatable form of dementia due to normal-pressure, communicating hydrocephalus. Can. Med. Assoc. J. 97, 1309 (1967)PubMedGoogle Scholar
  4. Müller, C., Ciompi, L. (eds.): Senile Dementia. Clinical and Therapeutic Aspects. The Williams & Wilkins Company, Baltimore, 1968Google Scholar

Laborbefunde Arteriographie

  1. Bradac, G. B., Simon, R. S.: Bericht über die routinemäßige Anwendung der Kathetertechnik in der zerebralen Angiographie (965 Untersuchungen). Fortschr. Geb. Röntgenstr. Nuklearmed. 125, 66 (1976)CrossRefGoogle Scholar
  2. Kapp, J. Cook, W., Paulson, G.: Chronic brain syndrome: Arteriographic study in elderly patients. Geriatrics. 21, 174 (1966)PubMedGoogle Scholar
  3. Wilson, McC.: Angiography in cerebrovascular occlusive disease. Am. J. Med. Sci. 250, 554 (1965)PubMedCrossRefGoogle Scholar

Enzephalographie

  1. Alker, G. J., Glasauer, F. E., Leslie, E. V.: Longterm experience with isotope cisternography. J.A.M.A. 219, 1005 (1972)PubMedCrossRefGoogle Scholar
  2. Dyken, M. L., Nelson, G.: Cerebral circulatory and metabolic studies related to pneumoencephalography. Acta neurol. scand. 44, 148 (1968)PubMedCrossRefGoogle Scholar

Therapie

  1. Chynoweth, R., Foley, J.: Pre-senile dementia responding to steroid therapy. Brit. J. Psychiat. 115, 703 (1969)PubMedCrossRefGoogle Scholar
  2. Heyden, S., Gerber, C. J.: Atherosclerotic cerebrovascular disease — Its nature and management. Am. J. Med. 46, 763 (1969)PubMedCrossRefGoogle Scholar
  3. Varkonyi-Wallerstein, P., Licht, B., Kronenwerth, D.: Zur Behandlung zerebraler Insuffizienzerscheinungen alter Menschen. Ther. Gegenw. 115, 265 (1976)PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1980

Authors and Affiliations

  • James F. Toole
    • 1
  • Aneel N. Patel
    • 2
  1. 1.Bowman Gray School of MedicineWake Forest UniversityWinston-SalemUSA
  2. 2.Albany Medical College of Union UniversityAlbanyUSA

Personalised recommendations