Simultaneous occurrence and interaction of hypoperfusion and embolism in a patient with severe middle cerebral artery stenosis

Stroke

Volumn 40, Issue 7, 2009, Pages

  Schreiber, Stefanie ^a   Serdaroglu, Mine ^a   Schreiber, Frank ^b   Skalej, Martin ^a   Heinze, Hans Jochen ^a   Goertler, Michael ^a  

^a OTTO VON GUERICKE UNIVERSITY   (Germany)

^b TECHNICAL UNIVERSITY OF BRAUNSCHWEIG   (Germany)

Author keywords

Embolism; Hypoperfusion; Middle cerebral artery stenosis; Transcranial Doppler sonography

Indexed keywords

CARBON DIOXIDE;

ADULT; ANAMNESIS; ARTICLE; CASE REPORT; CLINICAL FEATURE; DIFFUSION WEIGHTED IMAGING; DISEASE SEVERITY; DOPPLER ECHOGRAPHY; EMBOLISM; FEMALE; FLOW RATE; HUMAN; MIDDLE CEREBRAL ARTERY OCCLUSION; PERFUSION; PRIORITY JOURNAL; RECURRENT DISEASE; THROMBOGENESIS; WHITE MATTER;

BLOOD FLOW VELOCITY; CEREBRAL ARTERIAL DISEASES; CONSTRICTION, PATHOLOGIC; FEMALE; HUMANS; INFARCTION, MIDDLE CEREBRAL ARTERY; MAGNETIC RESONANCE IMAGING; MIDDLE AGED; MIDDLE CEREBRAL ARTERY; PULSATILE FLOW; REGIONAL BLOOD FLOW; ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL; VASCULAR RESISTANCE; VASODILATION;

EID: 67650082746     PISSN: 00392499     EISSN: None     Source Type: Journal    
DOI: 10.1161/STROKEAHA.109.549378     Document Type: Article

References (11)

1. Weimar C, Goertler M, Harms L, Diener HC. Distribution and outcome of symptomatic stenoses and occlusions in patients with acute cerebral ischemia. Arch Neurol. 2006;63:1287-1291.
2. Naritomi H, Sawada T, Kuriyama Y, Kinugawa H, Kaneko T, Takamiya M. Effect of chronic middle cerebral artery stenosis on the local cerebral hemodynamics. Stroke. 1985;16:214-219.
3. Wong KS, Gao S, Chan YL, Hansberg T, Lam WWM, Droste DW, Kay R, Ringelstein EB. Mechanisms of acute cerebral infarctions in patients with middle cerebral artery stenosis: a diffusion-weighted imaging and microemboli monitoring study. Ann Neurol. 2002;52:74-81.
4. Baumgartner RW, Mattle HP, Schroth G. Assessment of ≥50% and <50% intracranial stenoses by transcranial color-coded duplex sonography. Stroke. 1999;30:87-92.
5. 2-test for the detection of hemodynamically critical carotid artery stenoses and occlusions. Eur Arch Psychiatr Neurol Sci. 1986;236:162-168.
6. Kleiser B, Widder B. Course of carotid artery occlusion with impaired cerebrovascular reactivity. Stroke. 1992;23:171-174.
7. Blaser T, Glanz W, Krueger S, Wallesch CW, Kropf S, Goertler M. Time period required for transcranial Doppler monitoring of embolic signals to predict recurrent risk of embolic transient ischemic attack and stroke from arterial stenosis. Stroke. 2004;35:2155-2159.
8. Zuelch KJ. On the pathogenesis and localization of cerebral infarction. Zentralbl Neurochir. 1961;21:158-178.
9. Caplan LR, Hennerici M. Impaired clearance of emboli (washout) is an important link between hypoperfusion, embolism, and ischemic stroke. Arch Neurol. 1998;55:1475-1482.
10. Sedlaczek O, Caplan L, Hennerici M. Impaired washout - embolism and ischemic stroke: further examples and proof of concept. Cerebrovasc Dis. 2005;19:396-401.
11. Caplan LR, Wong KS, Gao S, Hennerici MG. Is hypoperfusion an important cause of strokes? If so, how? Cerebrovasc Dis. 2006;21:145-153.