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Related Concept Videos

Ischemic Stroke ll: Pathophysiology01:15

Ischemic Stroke ll: Pathophysiology

54
An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
54
Hemorrhagic Stroke ll: Pathophysiology01:29

Hemorrhagic Stroke ll: Pathophysiology

30
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
30
Ischemic Stroke l: Introduction01:15

Ischemic Stroke l: Introduction

44
Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
44
Hemorrhagic Stroke l: Introduction01:17

Hemorrhagic Stroke l: Introduction

20
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
20
Transient Ischemic Attack l: Introduction01:26

Transient Ischemic Attack l: Introduction

18
A transient ischemic attack (TIA) is a brief episode of neurological dysfunction caused by a temporary, focal reduction in cerebral blood flow. Although symptoms resemble those of an ischemic stroke, the interruption in perfusion is short-lived and does not cause permanent infarction. TIAs are clinically important because they often serve as early warning events for future stroke.Mechanisms of Transient Cerebral IschemiaTransient cerebral ischemia may arise through several mechanisms. One...
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Related Experiment Video

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08:22

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Harm avoidance and cerebral infarction.

Robert S Wilson1, Patricia A Boyle1, Steven R Levine2

  • 1Rush Alzheimer's Disease Center.

Neuropsychology
|December 25, 2013
PubMed
Summary

Higher harm avoidance behavior may increase the risk of cerebral infarction, a type of stroke. This personality trait is linked to a greater likelihood of developing brain infarcts in older adults.

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Area of Science:

  • Neuroscience
  • Psychology
  • Gerontology

Background:

  • Harm avoidance, a personality trait linked to behavioral inhibition, is associated with negative health outcomes in older adults, including disability and dementia.
  • The underlying mechanisms connecting harm avoidance to these outcomes, particularly cerebral infarction, remain unclear.

Purpose of the Study:

  • To investigate the association between the personality trait of harm avoidance and the presence of chronic cerebral infarction in an elderly population.
  • To test the hypothesis that higher levels of harm avoidance predict an increased likelihood of cerebral infarction.

Main Methods:

  • A cohort of older adults without dementia completed a harm avoidance scale.
  • Follow-up included brain autopsies to assess chronic cerebral infarcts (microscopic and gross).
  • Statistical models controlled for cardiovascular risk factors.

Main Results:

  • Chronic cerebral infarcts were identified in 42% of the 192 individuals who underwent neuropathologic examination.
  • Higher harm avoidance scores were significantly associated with an increased likelihood of cerebral infarction (OR = 1.083).
  • Individuals with high harm avoidance (75th percentile) had a 2.4-fold greater risk of infarction compared to those with low harm avoidance (25th percentile), even after adjusting for other risk factors.

Conclusions:

  • Elevated levels of the harm avoidance trait may serve as a predictive risk factor for cerebral infarction.
  • This finding suggests a potential link between personality and cerebrovascular disease, warranting further investigation.