Clinical assessment of the complex instrumental examination in cerebrovascular disease patients

Aim. To compare clinical manifestations of cerebrovascular disease (CerVD) with the results of modern instrumental examination methods, using the semi-quantitative approach. Material and methods. In total, 40 CerVD patients with ischemic stroke in anamnesis or discirculatory encephalopathy were exam...

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Main Author: B. M. Lipovetsky
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2010-06-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/2091
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author B. M. Lipovetsky
author_facet B. M. Lipovetsky
author_sort B. M. Lipovetsky
collection DOAJ
description Aim. To compare clinical manifestations of cerebrovascular disease (CerVD) with the results of modern instrumental examination methods, using the semi-quantitative approach. Material and methods. In total, 40 CerVD patients with ischemic stroke in anamnesis or discirculatory encephalopathy were examined. All participants underwent duplex scanning (DS) of neck and head vessels, magnetic resonance angiography (MRA) of cerebral vessels and positron emission tomography (PET) of the brain. The observed disturbances were coded as “mild” (+), “moderate” (++), or “severe” (+++). Results. Clinical manifestations of CerVD correlated with PET-diagnosed cerebral perfusion disturbances. In 50 % of the cases, cerebral atherosclerosis in CerVD patients was characterised by combined pathology of carotid and vertebro-basilar arteries (CA, VBA), while isolated VBA pathology was relatively rare (10 %). The first-affected segments were extracranial vessels (35 %) or extracranial and intracranial vessels (27 %). A strong correlation between clinical CerVD symptoms and morphological vascular changes at DS and MRA was observed in 45 %. Conclusion. Among CerVD patients, complex instrumental examination could help in assessment of the disease severity, prognosis and therapy choice.
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publishDate 2010-06-01
publisher «SILICEA-POLIGRAF» LLC
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series Кардиоваскулярная терапия и профилактика
spelling doaj-art-23c6f5a4f4354f3e889105aebb4593422025-08-20T03:43:27Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252010-06-019385891802Clinical assessment of the complex instrumental examination in cerebrovascular disease patientsB. M. Lipovetsky0Human Brain Institute, Russian Academy of Sciences. St. PetersburgAim. To compare clinical manifestations of cerebrovascular disease (CerVD) with the results of modern instrumental examination methods, using the semi-quantitative approach. Material and methods. In total, 40 CerVD patients with ischemic stroke in anamnesis or discirculatory encephalopathy were examined. All participants underwent duplex scanning (DS) of neck and head vessels, magnetic resonance angiography (MRA) of cerebral vessels and positron emission tomography (PET) of the brain. The observed disturbances were coded as “mild” (+), “moderate” (++), or “severe” (+++). Results. Clinical manifestations of CerVD correlated with PET-diagnosed cerebral perfusion disturbances. In 50 % of the cases, cerebral atherosclerosis in CerVD patients was characterised by combined pathology of carotid and vertebro-basilar arteries (CA, VBA), while isolated VBA pathology was relatively rare (10 %). The first-affected segments were extracranial vessels (35 %) or extracranial and intracranial vessels (27 %). A strong correlation between clinical CerVD symptoms and morphological vascular changes at DS and MRA was observed in 45 %. Conclusion. Among CerVD patients, complex instrumental examination could help in assessment of the disease severity, prognosis and therapy choice.https://cardiovascular.elpub.ru/jour/article/view/2091cerebrovascular diseaseduplex scanningmagnetic resonance tomographypositron emission tomographystrokediscirculatory encephalopathy
spellingShingle B. M. Lipovetsky
Clinical assessment of the complex instrumental examination in cerebrovascular disease patients
Кардиоваскулярная терапия и профилактика
cerebrovascular disease
duplex scanning
magnetic resonance tomography
positron emission tomography
stroke
discirculatory encephalopathy
title Clinical assessment of the complex instrumental examination in cerebrovascular disease patients
title_full Clinical assessment of the complex instrumental examination in cerebrovascular disease patients
title_fullStr Clinical assessment of the complex instrumental examination in cerebrovascular disease patients
title_full_unstemmed Clinical assessment of the complex instrumental examination in cerebrovascular disease patients
title_short Clinical assessment of the complex instrumental examination in cerebrovascular disease patients
title_sort clinical assessment of the complex instrumental examination in cerebrovascular disease patients
topic cerebrovascular disease
duplex scanning
magnetic resonance tomography
positron emission tomography
stroke
discirculatory encephalopathy
url https://cardiovascular.elpub.ru/jour/article/view/2091
work_keys_str_mv AT bmlipovetsky clinicalassessmentofthecomplexinstrumentalexaminationincerebrovasculardiseasepatients