A comparative clinical and neuroimaging study of venous and arterial strokes

Cover Page

Abstract

Eighty four patients with clinical signs of acute cerebrovascular disease were examined. According to MRI, 20 patients were diagnosed with venous infarction, and 64 patients were diagnosed with arterial infarction. Venous strokes developed more frequently in patients at a relatively young age and in females. The clinical picture of venous stroke is characterized by subacute and slow development of clinical manifestations; prevalence of cerebral symptoms over focal symptoms; symptoms indicative of cerebral venous discirculation; a tendency towards relatively rapid regression of cerebral symptoms. According to MRI, the localization of infarction in venous stroke does not coincide with territories of blood supply to the main intracranial arteries; the form of foci is irregular, and their contours are rough and indistinct; signs of cerebral venous discirculation, intracranial venous stasis, and vasogenic edema are visualized.

About the authors

V. V. Mashin

Ulyanovsk State University, Ulyanovsk

Author for correspondence.
Email: platonova@neurology.ru
Russian Federation

L. A. Belova

Ulyanovsk State University, Ulyanovsk

Email: platonova@neurology.ru
Russian Federation

M. Yu. Moiseev

Ulyanovsk State University, Ulyanovsk

Email: platonova@neurology.ru
Russian Federation

A. N. Proshin

Ulyanovsk State University, Ulyanovsk

Email: platonova@neurology.ru
Russian Federation

References

  1. Ананьева Н.И., Трофимова Т.Н. КТ- и МРТ-диагностика острых ишемических инсультов. СПб, 2006.
  2. Белова Л.А., Машин В.В. Венозная дисциркуляция при хронических формах цереброваскулярной патологии. Ульяновск: УлГУ, 2015.
  3. Неймарк Е.З. Тромбозы внутричерепных синусов и вен. М: Медицина, 1975.
  4. Семенов С.Е., Шатохина М.Г., Нехорошева А.Н. и др. Роль и КТ- и МР-признаки фокального полнокровия в развитии и течении инсульта. Бюллетень сибирской медицины. 2012; 5: 23–26.
  5. Суслина З.А., Кистенев Б.А., Смирнова И.Н. Тромбофлебит внутренней яремной вены и сигмовидного синуса в остром периоде стволового ишемического инсульта. Неврол. журн. 1997; 1: 33–37.
  6. Труфанов Г.Е., Фокин В.А., Пьянов И.В. и др. Рентгеновская компьютерная и магнитно-резонансная томография в диагностике ишемического инсульта. СПб.: ЭЛБИ-СПб. 2005: 192.
  7. Amoozegar F., Ronksley P.E., Sauve R. Hormonal contraceptives and cerebral venous thrombosis risk: a systematic review and meta-analysis. Front. Neurol. 2015 (epub ahead of print).
  8. Bousser M.G. Cerebral venous thrombosis: diagnosis and management. J. Neurol. 2000; 247: 252–258.
  9. Coutinho J.M., Ferro J.M., Canhão P. et al. Cerebral venous and sinus thrombosis in women. Stroke. 2009; 40: 2356–2361.
  10. Dentali F., Gianni M., Crowther M.A., Ageno W. Natural history of cerebral vein thrombosis: a systematic review. Blood. 2006; 108: 1129–1134.
  11. Leach J.L., Fortuna R.B., Jones B.V. et al. Imaging of cerebral venous thrombosis: current techniques, spectrum of findings, and diagnostic pitfalls. Radiographics. 2006; 26: 19–43.
  12. Lee S.K., Brugge K.G. Cerebral venous thrombosis in adults: the role of imaging evaluation and management. Neuroimag. Clin. N. Am. 2003; 13: 139–152.
  13. McBane R.D., Tafur A., Wysokinski W.E. Acquired and congenital risk factorsassociated with cerebral venous sinus thrombosis. Thromb Res. 2010; 126: 81–87.
  14. Palena L.M., Toni F., Piscitelli V. et al. CT Diagnosis of cerebral venous thrombosis: importance of the first examination for fast treatment.The Neuroradiology J. 2009; 22: 137–149.
  15. Saposnik G., Barinagarrementeria F., Brown R.D. et al. Diagnosis and management of cerebral venous thrombosis: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2011; 42: 1158–9210.
  16. Von Kummer R., Allen K.L., Holle R. et al. Acute stroke: usefulness of early CT findings before thrombolytic therapy. Radiology. 1997; 205: 327–333.

Statistics

Views

Abstract: 898

PDF (Russian): 822

Article Metrics

Metrics Loading ...

Dimensions

PlumX


Copyright (c) 2015 Mashin V.V., Belova L.A., Moiseev M.Y., Proshin A.N.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies