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[Pathological analysis of 180 cases of cerebrovascular disorder in autopsy]
Insights
Autopsy findings reveal that cerebrovascular disorder (CVD) is more commonly caused by brain hemorrhage (69%) than infarction (31%). Hypertension and vascular malformations are the leading causes of hemorrhagic stroke.
Area of Science:
- Neurology
- Pathology
Context:
- Cerebrovascular disorders (CVD) represent a significant cause of mortality and morbidity.
- Autopsy studies provide crucial insights into the etiological factors of diseases.
Purpose:
- To determine the relative frequencies of various causes of cerebrovascular disorders (CVD) in a post-mortem study.
- To analyze the etiological breakdown of brain hemorrhage and infarction in autopsy cases.
Summary:
- Autopsy of 180 cerebrovascular disorder (CVD) cases showed brain hemorrhage in 69% and brain infarction in 31%.
- Hypertension (20%) and vascular malformations (16%) were primary causes of hemorrhage, while embolism (16%) and thrombosis (10%) dominated infarction.
- The ratio of hemorrhage to infarction was 2.3:1.
Impact:
- This study highlights the predominant role of brain hemorrhage in CVD mortality.
- Understanding the etiological distribution aids in targeted prevention and treatment strategies for cerebrovascular disorders.
Objective:
To evaluate the ratio of each kind of causes in 180 cases of cerebrovascular disorder(CVD) in autopsy.
Results:
In 180 cases of CVD in autopsy: (1)125 (69%) belong to brain hemorrhage including hypertension 36 cases(20%), vascular malformation 28 cases(16%), hemopoitic diseases and blood coagulation disturbances 23 cases(13%), congenital aneurysm and brain tumor 9 cases(5%) each separately. (2) 55 cases (31%) are due to brain infarction, main of them are caused by embolism 29 cases (16%) and thrombosis 17 cases(10%). Thrombosis related to atherosclerosis has 5 cases(3%).
Conclusion:
In CVD in autopsy, brain hemorrhage is more than infarction, the ratio of them is 2.3:1. More than 50% of cases is due to hypertension and vascular malformation. In infarction, embolism is more than thrombosis, the ratio of them is 1.7:1. Vascular malformation is more than congenital aneurysm, the ratio of them is 3:1.