Cerebrovascular Disease

From Anvita Health Wiki

Contents 1 More Specific Terms 2 Etiology 3 Epidemiology 4 Pathology 5 Clinical-manifestations 6 Complications 7 Management 8 More General Terms 9 References

More Specific Terms

• cerebral amyloid angiopathy
• internal carotid artery disease (carotid stenosis)
• moyamoya disease
• multi-infarct dementia
• stroke; cerebrovascular accident (CVA)
• vascular dementia

Etiology

• atherosclerosis

• advanced age
• hypertension

• arterial embolism

• atrial fibrillation
• atrial septal defect

• vasculitis
• cerebral amyloid angiopathy

Epidemiology

• as common as cardiovascular disease [1]

Pathology

• microvascular disease

• lacunar infarcts
• leukoaraiosis

Clinical-manifestations

• may have difficulty rising from chair
• difficulty starting to walk
• slow gait
• diminished foot clearance
• tendency to fall backward [2]

Complications

• vascular Parkinsonism
• vascular dementia

Management

• treat hypertension
• treat dyslipidemia

More General Terms

• disease/disorder primarily affecting brain
• vascular disease (vasculopathy)

References

1. Rothwell PM et al, Population-based study of event-rate, incidence, case-fatality, and mortality for all acute vascular events in all arterial territories. (Oxford Vacular Study) Lancet 2005; 366:1773 PMID: [1]
2. Geriatric Review Syllabus, 7th edition Parada JT et al (eds) American Geriatrics Society, 2010
3. National Guideline Clearinghouse Cerebrovascular disease (American College of Radiology) ngc-guideline: [2]

cerebrovascular disease/disorder