Intracranial atherosclerosis: Causes of ischemic stroke, diagnosis, and treatment

The paper reviews the literature on the identification of the causes of ischemic stroke and transient ischemic attacks in intracranial atherosclerosis. Symptomatic intracranial atherosclerosis is the cause of an ischemic focus in not only the cortical and subcortical structures due to hypoperfusion...

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Main Authors: V.A Sorokoumov, A.V. Savello
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2014-10-01
Series:Неврология, нейропсихиатрия, психосоматика
Subjects:
Online Access:https://nnp.ima-press.net/nnp/article/view/424
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author V.A Sorokoumov
A.V. Savello
author_facet V.A Sorokoumov
A.V. Savello
author_sort V.A Sorokoumov
collection DOAJ
description The paper reviews the literature on the identification of the causes of ischemic stroke and transient ischemic attacks in intracranial atherosclerosis. Symptomatic intracranial atherosclerosis is the cause of an ischemic focus in not only the cortical and subcortical structures due to hypoperfusion or arterio-arterial embolism, but also in the deep structures of the cerebral hemispheres and brainstem. Major artery dolichoectasia may make an accurate diagnosis and treatment choice difficult.Progress in the treatment of patients with symptomatic intracranial atherosclerosis depends on the availability of current brain and vessel imaging techniques and cranial artery angioplasty and stenting methods. The efficiency of aggressive medical prevention, primarily blood pressure reduction and different combinations of antiplatelet drugs, is being intensively investigated.
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spelling doaj.art-e8e1b75eab6f4191bec0183641a6ef272023-03-13T08:42:14ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422014-10-0162S505510.14412/2074-2711-2014-2S-50-55412Intracranial atherosclerosis: Causes of ischemic stroke, diagnosis, and treatmentV.A Sorokoumov0A.V. Savello1I.P. Pavlov Saint Petersburg State Medical University, Ministry of Health of Russia, Saint Petersburg, 6–8, Lev Tolstoy St., Saint Petersburg 197022S.M. Kirov Military Medical Academy, Ministry of Defense of the Russian Federation, Saint Petersburg; 6, Academician Lebedev St., Saint Petersburg 194044The paper reviews the literature on the identification of the causes of ischemic stroke and transient ischemic attacks in intracranial atherosclerosis. Symptomatic intracranial atherosclerosis is the cause of an ischemic focus in not only the cortical and subcortical structures due to hypoperfusion or arterio-arterial embolism, but also in the deep structures of the cerebral hemispheres and brainstem. Major artery dolichoectasia may make an accurate diagnosis and treatment choice difficult.Progress in the treatment of patients with symptomatic intracranial atherosclerosis depends on the availability of current brain and vessel imaging techniques and cranial artery angioplasty and stenting methods. The efficiency of aggressive medical prevention, primarily blood pressure reduction and different combinations of antiplatelet drugs, is being intensively investigated.https://nnp.ima-press.net/nnp/article/view/424intracranial atherosclerosiscausesischemic strokediagnosistreatment
spellingShingle V.A Sorokoumov
A.V. Savello
Intracranial atherosclerosis: Causes of ischemic stroke, diagnosis, and treatment
Неврология, нейропсихиатрия, психосоматика
intracranial atherosclerosis
causes
ischemic stroke
diagnosis
treatment
title Intracranial atherosclerosis: Causes of ischemic stroke, diagnosis, and treatment
title_full Intracranial atherosclerosis: Causes of ischemic stroke, diagnosis, and treatment
title_fullStr Intracranial atherosclerosis: Causes of ischemic stroke, diagnosis, and treatment
title_full_unstemmed Intracranial atherosclerosis: Causes of ischemic stroke, diagnosis, and treatment
title_short Intracranial atherosclerosis: Causes of ischemic stroke, diagnosis, and treatment
title_sort intracranial atherosclerosis causes of ischemic stroke diagnosis and treatment
topic intracranial atherosclerosis
causes
ischemic stroke
diagnosis
treatment
url https://nnp.ima-press.net/nnp/article/view/424
work_keys_str_mv AT vasorokoumov intracranialatherosclerosiscausesofischemicstrokediagnosisandtreatment
AT avsavello intracranialatherosclerosiscausesofischemicstrokediagnosisandtreatment