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Published on: April 23, 2021
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.
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.
Abstract:
In this paper, we review the cerebral circulation and cerebrovascular disease (CVD) with an overview of the major types of CVD pathogenesis. These, as categorized here, are as follows: occlusive injury intrinsic to blood vessels, occlusive injury extrinsic to blood vessels, cerebral hypoperfusion, and cerebral hemorrhage. Following an overview of each of these categories, we conclude with a discussion of cerebral edema to illustrate how the pathological origins we covered can progress clinically. The content of this paper sets the stage for the detailed, clinically oriented discussion of stroke with which our series culminates in its subsequent Part III.
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