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[Brain microbleeds - definition, pathophysiology and the consequences]
Marek Mazurek1, Ewa Papuć1, Konrad Rejdak1
1Katedra I Klinika Neurologii Uniwersytetu Medycznego W Lublinie, Lublin, Polska.
Abstract:
Brain microbleeds are defined as small, circular hypointense changes in T2-sequensec of brain MRI, well demarcated from the surrounding tissue. They represent the phagocytized products of blood distribution extravasated from pathologically altered vessels. The echo-T2-dependent gradient (GRE) and magnetic susceptibility testing (SWI) sequences are usually used to visualize them. The pathogenesis of microbleeds very complex but angiopathy associated with arterial hypertension and cerebral amyloid angiopathy play a special role. Atherosclerotic lesions and inflammatory processes are also important. Microbleeds can be found in healthy people as well as in many disorders such as hypertension, Alzheimer's disease or other types of dementia. Their prevalence increases with age. Microbleeds may have a multidimensional effect on the surrounding brain tissue. It is suggested that they disrupt both the brain structure and the electrical function of neurons. In this review article we present current knowledge on the cerebral microbleeds.
Insights
Brain microbleeds, identified via MRI, are linked to aging and various neurological disorders. These small bleeds can impact brain structure and neuronal function, highlighting their clinical significance.
Area of Science:
- Neurology
- Radiology
- Pathology
Background:
- Brain microbleeds are MRI-detected lesions indicating extravasated blood from damaged vessels.
- Their presence is associated with aging, hypertension, and neurodegenerative diseases like Alzheimer's.
Purpose of the Study:
- To review current knowledge on cerebral microbleeds.
- To discuss their pathogenesis, detection, and impact on brain tissue.
Main Methods:
- Utilizes Gradient Echo (GRE) and Susceptibility-Weighted Imaging (SWI) MRI sequences for visualization.
- Reviews existing literature on microbleed pathogenesis and clinical relevance.
Main Results:
- Microbleeds result from complex pathogenesis, with hypertensive and amyloid angiopathies being key factors.
- Prevalence increases with age and is observed in both healthy individuals and those with neurological conditions.
- Microbleeds may disrupt brain structure and neuronal electrical function.
Conclusions:
- Cerebral microbleeds are significant indicators of vascular and neurological health.
- Understanding their role is crucial for diagnosing and managing various brain disorders.
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