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[Cerebrovascular disorders: analysis of 190 autopsy cases]
A Hilbig1, A Britto, L M Coutinho
1Departamento de Patologia da Fundacão, Faculdade Federal de Ciências Médicas de Porto Alegre, Brasil.
Insights
Cerebrovascular disease, including hemorrhage and infarction, is more common in males. Arterial hypertension and atherosclerosis are the primary causes of these conditions.
Area of Science:
- Neurology
- Pathology
- Epidemiology
Context:
- Cerebrovascular diseases (CVDs) represent a significant global health burden.
- Postmortem examinations provide critical insights into the pathology and epidemiology of CVDs.
Purpose:
- To analyze the prevalence and characteristics of different types of cerebrovascular disease.
- To identify etiological factors associated with cerebral hemorrhage and infarction.
Summary:
- A retrospective analysis of 190 postmortem examinations revealed cerebrovascular disease in 49.47% hemorrhage, 35.26% infarction, and 15.26% combined forms.
- Hemorrhagic and infarcted CVDs were more prevalent in males.
- Intracerebral hemorrhage was the most common hemorrhagic type, while middle cerebral artery territory infarctions predominated.
- Arterial hypertension was the leading cause of cerebral hemorrhage, and atherosclerosis was the primary cause of cerebral infarction.
Impact:
- This study enhances understanding of CVD patterns and risk factors in postmortem data.
- Findings can inform clinical practice and public health strategies for CVD prevention and management.
Abstract:
A retrospective study of 190 postmortem examinations of cerebrovascular disease from the Department of Pathology was carried out. We found 94 cases (49.47%) of hemorrhage, 67 (35.26%) of infarction and 29 patients (15.26%) with hemorrhage and infarction; both were more frequent in males. Among the hemorrhagic cerebral vascular disease the intracerebral hemorrhage was more frequent. The cerebral infarction was more frequent in the territory of the middle cerebral artery. Arterial hypertension was the most common cause of cerebral hemorrhage and the cause in the great majority of the cerebral infarction cases was atherosclerosis.