Parametric Features of Regional Cerebral Blood Flow in Venous Ischemic Stroke

The lecture is devoted to the peculiarities of changes in tissue and cell perfusion of the brain with a rare pathology – venous ischemic stroke. Venous stroke, being a “relatively unknown cerebrovascular disease”, occurs up to 5 % of all cases of stroke. The terms “venous ischemia” and “venous strok...

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Main Author: S. E. Semenov
Format: Article
Language:Russian
Published: Scientific Сentre for Family Health and Human Reproduction Problems 2019-07-01
Series:Acta Biomedica Scientifica
Subjects:
Online Access:https://www.actabiomedica.ru/jour/article/view/2096
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author S. E. Semenov
author_facet S. E. Semenov
author_sort S. E. Semenov
collection DOAJ
description The lecture is devoted to the peculiarities of changes in tissue and cell perfusion of the brain with a rare pathology – venous ischemic stroke. Venous stroke, being a “relatively unknown cerebrovascular disease”, occurs up to 5 % of all cases of stroke. The terms “venous ischemia” and “venous stroke” have long been used in the literature and the definition of the venous nature of stroke should lead to a change in therapeutic tactics. Neuroimaging should ensure the verification of stroke and cerebral venous sinus thrombosis, which are the main cause of such a stroke. A certain “alertness” to the venous nature of the stroke with the expansion of the volume of radiologic methods of investigation and the performance of angiographic and perfusion CT and MR techniques, diffusion MRI allowed to increase the number of diagnosed and verified venous strokes from 0.4 % of the total number of stroke patients to 2.4 %. A distinctive feature of venous ischemic stroke from the arterial is moderate hyperemia in the central part in cases where necrosis does not develop and perifocal hyperperfusion in the development of necrosis. Moderate plethora, defined by perfusion parameters (up to 30 % CBF, CBV, MTT) of CT, MRI and SPECT techniques, and not oligemia is the primary damaging factor of the pathogenesis of venous stroke in contrast to the arterial and hyperemia patterns should be the reference points in emergency diagnosis venous stroke along with tomoangiographic symptoms of cerebral venous sinustrombosis.
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spelling doaj.art-eee855fb5e214b07b0093323681d75dc2024-03-28T07:49:22ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962019-07-014313814710.29413/ABS.2019-4.3.181893Parametric Features of Regional Cerebral Blood Flow in Venous Ischemic StrokeS. E. Semenov0Research Institute for Complex Issues of Cardiovascular DiseasesThe lecture is devoted to the peculiarities of changes in tissue and cell perfusion of the brain with a rare pathology – venous ischemic stroke. Venous stroke, being a “relatively unknown cerebrovascular disease”, occurs up to 5 % of all cases of stroke. The terms “venous ischemia” and “venous stroke” have long been used in the literature and the definition of the venous nature of stroke should lead to a change in therapeutic tactics. Neuroimaging should ensure the verification of stroke and cerebral venous sinus thrombosis, which are the main cause of such a stroke. A certain “alertness” to the venous nature of the stroke with the expansion of the volume of radiologic methods of investigation and the performance of angiographic and perfusion CT and MR techniques, diffusion MRI allowed to increase the number of diagnosed and verified venous strokes from 0.4 % of the total number of stroke patients to 2.4 %. A distinctive feature of venous ischemic stroke from the arterial is moderate hyperemia in the central part in cases where necrosis does not develop and perifocal hyperperfusion in the development of necrosis. Moderate plethora, defined by perfusion parameters (up to 30 % CBF, CBV, MTT) of CT, MRI and SPECT techniques, and not oligemia is the primary damaging factor of the pathogenesis of venous stroke in contrast to the arterial and hyperemia patterns should be the reference points in emergency diagnosis venous stroke along with tomoangiographic symptoms of cerebral venous sinustrombosis.https://www.actabiomedica.ru/jour/article/view/2096venous strokevenous ischemiaperfusionctmrispectcbfcbvmtt
spellingShingle S. E. Semenov
Parametric Features of Regional Cerebral Blood Flow in Venous Ischemic Stroke
Acta Biomedica Scientifica
venous stroke
venous ischemia
perfusion
ct
mri
spect
cbf
cbv
mtt
title Parametric Features of Regional Cerebral Blood Flow in Venous Ischemic Stroke
title_full Parametric Features of Regional Cerebral Blood Flow in Venous Ischemic Stroke
title_fullStr Parametric Features of Regional Cerebral Blood Flow in Venous Ischemic Stroke
title_full_unstemmed Parametric Features of Regional Cerebral Blood Flow in Venous Ischemic Stroke
title_short Parametric Features of Regional Cerebral Blood Flow in Venous Ischemic Stroke
title_sort parametric features of regional cerebral blood flow in venous ischemic stroke
topic venous stroke
venous ischemia
perfusion
ct
mri
spect
cbf
cbv
mtt
url https://www.actabiomedica.ru/jour/article/view/2096
work_keys_str_mv AT sesemenov parametricfeaturesofregionalcerebralbloodflowinvenousischemicstroke