Early Cerebrovascular Disease—Clinical Characteristics and Aspects. Description of a Clinical Case

Abstract

The etiology, pathogenesis, clinical findings and actual therapeutic questions in the patients under the age of 45 with ischemic attacks of cerebral blood circulation form a varied and complex nature of syndrome of early cerebrovascular disease. The epidemiologic peculiarties of the affected contingent and the scale social aspects of the disease are at the root of large amount of multifactor examinations and tracing of the described problem. A case is presented of a 39-year old female patient with early cerebrovascular disease on the ground of isolated stenoses of both medial cerebral arteries-high-grade stenosis (70%) for the left arteria cerebri media (MCA) and low-grade stenosis (40%) for the right MCA. In the process of the wide differential diagnostic plan, no risk and etiological factors have been specified, excepting described intracranial stenoses for the first appearance of cerebral infarctions in the young age. A short analysis has been accomplished of conventional and specific etiological factors for ischemic anomalies of cerebral blood circulation in the age group under 45 as well as a review of the therapeutic possibilities in the medical algorithm of the cerebrovascular disease.