It is impossible to cure cerebral atherosclerosis, but by timely, regular and complex therapy, its progression can be slowed down. Conditions that fall under the heading of cerebrovascular disease include: The symptoms of cerebrovascular disease may differ slightly depending on the specific condition you have. Wang Z, Kolega J, Hoi Y, Gao L, Swartz DD, Levy EI, et al. Computational fluid dynamics of vascular disease in animal models. Another limitation is that the blood flow simulated via CFD is oversimplified to some extent, which is unable to mimic the complex flow condition perfectly in the brain artery. Nguyen KT, Clark CD, Chancellor TJ, Papavassiliou DV. The NINDS-AIREN criteria (Roman et al 1993) are the most widely used research criteria, requiring evidence of cerebrovascular disease from both clinical and neuroimaging findings, and a temporal relationship between the cerebrovascular changes and the development of dementia. These are determined by the specific condition causing the stroke, the severity of the stroke, and the individuals response to rehabilitation therapy. https://doi.org/10.1016/j.jocn.2011.02.014. %%EOF Cerebral arteriosclerosis is a disease that occurs when the arteries in the brain become hard, thick, and narrow due to the buildup of plaque (fatty deposits) inside the artery walls. Terms and Conditions, https://doi.org/10.7326/0003-4819-159-8-201310150-00004. Ann Transl Med. The most common etiologies are closed head injuries, gunshot wounds, stab wounds, and iatrogenic causes, which result in direct arterial trauma from skull fractures, contusion against the falcine edge, or stretch injury. The most accessible of them is REG. WebHospice Care. In the first case, due to the progressive decrease in the lumen of the vessel, there is a decrease in blood supply to a certain area of the brain. Hospice or comfort care helps patients and their families navigate the complex issues associated with a prolonged illness, including medical care, financial concerns and living arrangements. There is progressive stiffening of arterial walls, with an increase in collagen in the tunica intima and in the tunica media. Prevalence of unruptured intracranial aneurysms, with emphasis on sex, age, comorbidity, country, and time period: a systematic review and meta-analysis. Hypertensive patients need careful selection of antihypertensive treatment. Kazuomi Kario, in Textbook of Arterial Stiffness and Pulsatile Hemodynamics in Health and Disease, 2022, Data from population studies and patients with hypertension highlight a link between baPWV or cfPWV and the presence of cerebral small vessel disease, including cerebral microbleeds, white matter hyperintensity, or lacunar infarction.25,4348 These subclinical manifestations of cerebral atherosclerosis are common in older populations and are recognized as important risk factors for cognitive impairment and stroke.49,50 PWV has also been associated with the longitudinal progression of cognitive decline in the elderly.51,52.

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