Phenomenology of ischaemic stroke

Michael G. Hennerici, Rolf Kern, Kristina Szabo and Johannes Binder

in Stroke

Published on behalf of Oxford University Press

Published in print July 2012 | ISBN: 9780199582808
Published online July 2012 | e-ISBN: 9780191739651 | DOI:

Series: Oxford Neurology Library

Phenomenology of ischaemic        stroke

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• A transient ischaemic attack is not a benign disease but associated with a high risk of early recurrent stroke. ‘TIA’ patients with neurological symptoms lasting between 1 and 24hr often have ischaemic lesions on brain imaging. • Common causes of ischaemic stroke in the elderly population are large artery atherosclerosis and cardio-embolism, leading to territorial and borderzone infarction, and small vessel disease being responsible for lacunar infarction and associated progressive neurological dysfunction (subcortical vascular encephalopathy). • Other and rare causes need to be considered particularly in younger patients, such as inflammatory and non-inflammatory vasculopathies and coagulation disorders. However, strokes at younger age are more often associated with common vascular risk factors than hitherto assumed. • Spinovascular disease is rare compared with cerebrovascular disease. The common causes of spinal cord infarcts are aortic disease or surgical procedures at the aortic level, small vessel disease including inflammatory vasculopathies, spinal or segmental artery compression or occlusion, severe hypotension and spinal cord AVM.

Chapter.  3395 words.  Illustrated.

Subjects: Neurology

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