Implications of silent strokes

被引：34

作者：

Yatsu F.M. ^{[1
]}

Shaltoni H.M. ^{[1
]}

机构：

[1] The University of Texas, Houston Medical School, Houston, TX 77030

来源：

Current Atherosclerosis Reports | 2004年 / 6卷 / 4期

关键词：

Carotid Stenosis; Cardiovascular Health Study; Oxygen Extraction Fraction; Lacunar Stroke; Clinical Stroke;

D O I：

10.1007/s11883-004-0063-0

中图分类号：

学科分类号：

摘要：

"Silent strokes" or "subclinical strokes" refer to incidental findings of strokes on neuroimaging studies, such as computed tomography or magnetic resonance imaging/diffusion-weighted imaging, that are asymptomatic. These include lacunar and other ischemic strokes and minor hemorrhages, particularly in "silent areas" of the brain, but also include leukoaraiosis due to small vessel pathology of a variety of origins. Clinicians need to appreciate their significance because with certain conditions, such as atrial fibrillation and significant carotid stenosis, follow-up of these patients shows an increased incidence of strokes, impaired cognitive function, and dementia. These serious consequences of subclinical strokes require the clinician to be vigilant and institute preventive strategies to avert these untoward outcomes. Copyright © 2004 by Current Science Inc.

引用

页码：307 / 313

页数：6

共 48 条

[1]

Baird A.E., Warach S., Recurrent silent brain cerebral embolism, Neurology, 55, (2000)

[2]

Masuda M., Nabika T., Notsu Y., Silent stroke: Pathogenesis, genetic factors and clinical implications as a risk factor, Curr. Opin. Neurol., 14, pp. 77-82, (2001)

[3]

Babikian V.L., Caplan L.R., Brain embolism is a dynamic process with variable characteristics, Neurology, 54, pp. 797-801, (2000)

[4]

Leary M.C., Saver J.L., Annual incidence of first silent stroke in the United States: A preliminary estimate, Cerebrovasc. Dis., 16, pp. 2800-2805, (2003)

[5]

Bernick C., Kuller L., Dulberg C., Et al., Silent MRI infarcts and the risk of future stroke, Neurology, 37, pp. 1222-1229, (2001)

[6]

Price T.R., Manolio T.A., Kronmal R.A., Et al., Silent brain infarction on MRI and neurological abnormalities in community-dwelling older adults: The Cardiovascular Health Study, Stroke, 28, pp. 1158-1164, (1997)

[7]

Longstreth Jr. W.T., Bernick C., Manolio T.A., Et al., Lacunar infarcts defined by MRI of 3660 elderly people: The Cardiovascular Health Study, Arch. Neurol., 55, pp. 1217-1225, (1998)

[8]

Bhadelia R.A., Anderson M., Polak J.F., Et al., Prevalance and association of MRI-demonstrated brain infarcts in elderly subjects with a history of transient ischemic attack. The Cardiovascular Health Study, Stroke, 30, pp. 388-393, (1999)

[9]

Longstreth Jr. W.T., Dulberg C., Manolio T.A., Et al., Incidence, manifestations, and predictors of brain infarcts definited by serial cranial MRI in the elderly, Stroke, 33, (2002)

[10]

Brott T., Tomsick T., Feinberg W., Et al., Baseline silent cerebral infarction in the Asymptomatic Carotid Atherosclerosis Study, Stroke, 25, pp. 1122-1129, (1994)

← 1 2 3 4 5 →