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Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
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Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions

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Cerebrovascular disorders.

Franz Fazekas1, Thomas Gattringer1, Christian Enzinger1,2

  • 1Department of Neurology.

Current Opinion in Neurology
|June 8, 2018
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Summary
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Neuroimaging advances aid in acute ischemic stroke treatment and predicting hemorrhage risk. Recent findings highlight the importance of infarct size and collaterals for mechanical thrombectomy, and markers for intracerebral hemorrhage.

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Area of Science:

  • Neurology
  • Radiology
  • Medical Imaging

Background:

  • Cerebrovascular disorders present diverse challenges.
  • Neuroimaging offers varied approaches to understanding these conditions.

Purpose of the Study:

  • To review recent advances in neuroimaging for cerebrovascular disorders.
  • To highlight clinically and scientifically meaningful contributions.

Main Methods:

  • Review of recent scientific literature on neuroimaging in cerebrovascular disorders.
  • Analysis of findings related to acute ischemic stroke, hemorrhage, and small vessel disease.

Main Results:

  • Mismatch concepts improve patient selection for mechanical thrombectomy in acute ischemic stroke.
  • Cerebral microbleeds and superficial siderosis are linked to intracerebral hemorrhage risk.
  • New data clarify the impact of small vessel disease features, including microinfarcts.

Conclusions:

  • Neuroimaging guides acute ischemic stroke treatment decisions.
  • Morphologic markers identify intracerebral hemorrhage risk.
  • Imaging detects and explains chronic cerebrovascular damage.