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The most common presentation of cerebrovascular disease is an ischemic stroke or mini-stroke and sometimes a hemorrhagic stroke. [2] Hypertension (high blood pressure) is the most important contributing risk factor for stroke and cerebrovascular diseases as it can change the structure of blood vessels and result in atherosclerosis. [5]
With the availability of treatments that can reduce stroke severity when given early, many now prefer alternative terminology, such as "brain attack" and "acute ischemic cerebrovascular syndrome" (modeled after heart attack and acute coronary syndrome, respectively), to reflect the urgency of stroke symptoms and the need to act swiftly.
Signs are typically the same as in other dementias, but mainly include cognitive decline and memory impairment of sufficient severity as to interfere with activities of daily living, sometimes with presence of focal neurological signs, and evidence of features consistent with cerebrovascular disease on brain imaging (CT or MRI). [4] [5]
Symptoms of cerebral infarction can help determine which parts of the brain are affected. If the infarct is located in the primary motor cortex , contralateral hemiparesis is said to occur. With brainstem localization, brainstem syndromes are typical: Wallenberg's syndrome , Weber's syndrome , Millard–Gubler syndrome , Benedikt syndrome or ...
The most frequent presenting signs and symptoms of primary CNS vasculitis were focal neurological defecits (seen in 63% of cases), headaches (51%) and cognitive impairment (41%). [4] Other presenting symptoms include aphasia or other difficulties with speech (35-43%), ataxia , visual field deficits, acute or subacute encephalopathy (which may ...
Middle cerebral artery syndrome is a condition whereby the blood supply from the middle cerebral artery (MCA) is restricted, leading to a reduction of the function of the portions of the brain supplied by that vessel: the lateral aspects of frontal, temporal and parietal lobes, the corona radiata, globus pallidus, caudate and putamen.