| Summary: | The morphological features of the cerebral vessels in 32 cases of sectioned materials of the patients with the ischemic stroke on the metabolic syndrome was studied. The atherosclerotic affection of the main cerebral vessels with the prevailing affection of cerebral arteries with the lipidosis and fibrotic plaques in vessel`s wall, which caused in disorganization of the vessel`s wall in the form intimae proliferation, structural reconstruction of the internal elastic membrane which is caused in narrowing of the vessel`s lumen and development of ischemia is the morphological basis for the ischemic stroke with the metabolic syndrome. Also, microangiopathy with the development of the hyalinosis, vessels walls sclerosis, which caused in the microcirculatory and metabolism processes injury in the cerebrum substance that complicate the disease course is the important factor that complicate the course of disease.
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