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Correlation of arteriographic findings and symptoms in cerebrovascular disease

B L Thiele, J V Young, P M Chikos

    Neurology
    |October 1, 1980
    PubMed

    Insights

    Vascular abnormalities in cerebral ischemia patients show ulcerated lesions are more common than hemodynamically significant ones. Stroke risk is highest with co-occurring intracranial siphon disease or circle of Willis anomalies.

    Area of Science:

    • Neurology
    • Vascular Medicine
    • Radiology

    Background:

    • Cerebral ischemia presents with diverse vascular abnormalities.
    • Understanding lesion distribution is crucial for stroke risk assessment.

    Purpose of the Study:

    • To analyze extracranial and intracranial vascular abnormalities in patients with symptomatic cerebral ischemia.
    • To correlate lesion types with clinical presentation (transient vs. fixed deficits).

    Main Methods:

    • Retrospective analysis of arteriograms from 109 patients with symptomatic cerebral ischemia.
    • Categorization of lesions into potentially embolic, hemodynamically significant, and ulcerated types.
    • Comparison of lesion distribution between transient and fixed neurologic deficit groups.

    Main Results:

    • Potentially embolic lesions were more frequent than hemodynamically significant lesions in transient ischemia (84% vs. 50%).
    • Internal carotid artery occlusion was present in 25% of patients with fixed deficits; ulcerated lesions were more common than hemodynamically significant ones.
    • Intracerebral disease/anomaly was noted in 29% of the transient group and 90% of the fixed deficit group.

    Conclusions:

    • Cerebral ischemia symptoms are more frequently linked to arterial ulceration than hemodynamically significant lesions.
    • Combined intracranial siphon disease or circle of Willis anomalies significantly increase stroke risk.

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