The cerebral circulation and cerebrovascular disease II: Pathogenesis of cerebrovascular disease

Ankush Chandra1, Christopher R Stone1, William A Li1

  • 1Department of Neurological Surgery, Wayne State University School of Medicine, Detroit, MI, USA.

Brain Circulation
|October 3, 2018
PubMed

Insights

This review covers cerebral circulation and cerebrovascular disease (CVD) pathogenesis, including occlusive injuries, hypoperfusion, and hemorrhage. It also discusses cerebral edema and clinical progression, setting the stage for stroke discussions.

Area of Science:

  • Neurology
  • Vascular Biology
  • Pathophysiology

Background:

  • Cerebral circulation is vital for brain function.
  • Cerebrovascular disease (CVD) encompasses a range of conditions affecting brain blood vessels.
  • Understanding CVD pathogenesis is crucial for effective clinical management.

Purpose of the Study:

  • To provide a comprehensive review of cerebral circulation.
  • To categorize and explain the major types of cerebrovascular disease pathogenesis.
  • To illustrate the clinical progression of CVD, including cerebral edema.

Main Methods:

  • Literature review of cerebral circulation and cerebrovascular disease.
  • Categorization of CVD pathogenesis into intrinsic occlusive injury, extrinsic occlusive injury, cerebral hypoperfusion, and cerebral hemorrhage.
  • Discussion of cerebral edema as a clinical manifestation of CVD origins.

Main Results:

  • CVD pathogenesis can be broadly categorized into four main types.
  • Occlusive injuries can originate from within the blood vessels or external factors.
  • Cerebral hypoperfusion and hemorrhage represent other significant pathways of CVD.
  • Cerebral edema is a common clinical consequence of these pathological processes.

Conclusions:

  • The reviewed categories of CVD pathogenesis provide a framework for understanding brain vascular disorders.
  • Cerebral edema highlights the clinical relevance of understanding the underlying pathological mechanisms of CVD.
  • This review serves as a foundation for further detailed discussions on stroke and its management.

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