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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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A stroke is an acute neurological event caused by the sudden disruption of cerebral blood flow, leading to rapid loss of neuronal function. Neurons depend on continuous oxygen and glucose supply, so even brief interruptions can cause irreversible injury within minutes. Strokes are classified into ischemic and hemorrhagic types.Ischemic StrokeIschemic strokes are most common and occur due to arterial occlusion, depriving brain tissue of oxygen and nutrients. This leads to energy failure, ionic...
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Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
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An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
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Malignancy-associated ischemic stroke: Implications for diagnostic and therapeutic workup.

Wanqing Xie1, Szuyao Hsu1, Yuxuan Lin1

  • 1Department of Anesthesiology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

CNS Neuroscience & Therapeutics
|March 27, 2024
PubMed
Summary

Malignancy-associated ischemic stroke (MAS) presents unique challenges. Early diagnosis and treatment are crucial, as malignancy is not a contraindication for stroke therapy, with comparable outcomes.

Keywords:
anticoagulationbiomarkerscancerischemic strokemalignancyreperfusion therapy

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Area of Science:

  • Neurology
  • Oncology
  • Vascular Medicine

Background:

  • Patients with malignancies face increased ischemic stroke risk due to coagulation issues and other factors.
  • Stroke can be the initial indicator of an undetected cancer, known as malignancy-associated ischemic stroke (MAS).
  • Prompt diagnosis and management are vital for this complex condition.

Purpose of the Study:

  • To review recent advancements in diagnosing and managing MAS.
  • To offer updated recommendations for diagnostic and therapeutic strategies for stroke with occult malignancies.

Main Methods:

  • Literature review of recent clinical evidence.
  • Synthesis of diagnostic and therapeutic workup strategies for MAS.

Main Results:

  • MAS patients often present with atypical demographics, risk factors, and neuroimaging findings.
  • Novel biomarkers like eicosapentaenoic acid and mRNA profiles may aid in MAS identification.
  • Malignancy does not preclude stroke treatment, showing similar recanalization and complication rates.

Conclusions:

  • Timely diagnostic assessment and targeted management are critical for MAS.
  • New clinical evidence supports updated diagnostic and therapeutic approaches for stroke in patients with occult malignancies.