Abstract
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.
Highlights
Представлен обзор литературы, посвященный выявлению причин ишемического инсульта и транзиторных ишемических атак при атеросклерозе интракраниальных артерий
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 the cortical and subcortical structures due to hypoperfusion or arterio-arterial embolism, and in the deep structures of the cerebral hemispheres and brainstem
Summary
Представлен обзор литературы, посвященный выявлению причин ишемического инсульта и транзиторных ишемических атак при атеросклерозе интракраниальных артерий. «Симптомный» атеросклероз внутричерепных артерий является причиной ишемического очага не только в корково-подкорковых структурах вследствие гипоперфузии или артерио-артериальной эмболии, но и в глубинных структурах больших полушарий и стволе мозга. Атеросклероз внутричерепных артерий: причины ишемического инсульта, диагностика и лечение.
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