Presentation
Topics covered include managing the patient with sepsis or septic shock; anesthetic considerations for patients in respiratory failure; anesthetic concerns in patients presenting with renal failure; perioperative management of patients with liver failure [books.google.com]
Abstract Three hundred and twenty-eight consecutive patients presenting with symptoms of cerebrovascular insufficiency were evaluated with complete cerebral angiography (CCA) under a prospective protocol evaluating the necessity and the utility of CCA [ncbi.nlm.nih.gov]
Cardiovascular
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Arm Claudication
A clinical case with rare anomaly: right aortic arch with mirror-image branching of brachiocephalic arteries and aplasia (isolation) of the left brachiocephalic trunk, causing cerebrovascular insufficiency and left arm claudication is described. [ncbi.nlm.nih.gov]
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Mitral Valve Prolapse
The association of mitral valve prolapse with OC-related cerebrovascular insufficiency was particularly striking. [ncbi.nlm.nih.gov]
Face, Head & Neck
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Episodic Headache
The girl had dizziness, fainting episodes, vertigo episodes, headaches. She had difficulties with learning at school due to the bad memory and rapid mental tiredness. [slideshare.net]
Workup
X-Ray
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Mediastinal Mass
mass or tracheal stenosis. [books.google.com]
Treatment
Abstract Seventy-six patients took part in a randomized, comparative study of the efficacy of buflomedil hydrochloride and dihydrogenated ergot alkaloids in the treatment of senile dementia associated with cerebrovascular insufficiency. [ncbi.nlm.nih.gov]
The first chapter stresses the etiology and pathophysiology of childhood stroke as the basis for evaluations and treatment. [books.google.com]
Prognosis
Different occlusive patterns may underlie the same clinical presentation, with different prognosis and different treatment: for this reason, a diagnostic tool able to identify quickly the status of the extra- and intracranial vessels is needed. [ncbi.nlm.nih.gov]
Kuroda S, Kamiyama H, Abe H, Houkin K, Isobe M, Mitsumori K (1993) Acetazolamide test in detecting reduced cerebral perfusion reserve and predicting long-term prognosis in patients with internal carotid artery occlusion. [link.springer.com]
Prognosis The mortality from untreated subarachnoid hemorrhage is approximately 50%, although this refers mainly to hemorrhage from aneurysm (coma in the early phase of subarachnoid hemorrhage being an indicator of very poor prognosis). [dartmouth.edu]
Favourable prognosis is in case of limited hemorrhages, small in size, without brain edema and secondary brain stem syndrome development. Mortality at brain infarction is in 20 – 27 % of all cases. [intranet.tdmu.edu.ua]
In addition carotid Doppler can also be used to assess the prognosis in potential symptomatic and asymptomatic patients with one or the other risk factors for cerebrovascular disease. [mjdrdypu.org]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Although there were a variety of cardiac, cerebrovascular, and neurological abnormalities in these ten patients, six of these patients had a disturbance in cardiac rhythm or conduction which could have been directly associated with or suggest an etiology [ncbi.nlm.nih.gov]
The first chapter stresses the etiology and pathophysiology of childhood stroke as the basis for evaluations and treatment. [books.google.com]
Another etiology for the lobar hemorrhage has recently been described. [dartmouth.edu]
Etiology and Pathology Most patients with hypertensive encephalopathy have a long history of essential hypertension. [intranet.tdmu.edu.ua]
Epidemiology
American Journal of Epidemiology. 143 (7): 658–664. doi : 10.1093/oxfordjournals.aje.a008798. Ning, Mingming; Lopez, Mary; Cao, Jing; Buonanno, Ferdinando S; Lo, Eng H (2012). "Application of proteomics to cerebrovascular disease". [en.wikipedia.org]
Epidemiology of cerebrovascular diseases. Among all the neurological diseases of adult life the cerebrovascular ones clearly rank first in frequency and importance. At least 50 % of the neurological disorders are of this type. [intranet.tdmu.edu.ua]
Nonetheless, epidemiological studies have clearly shown an association between low prevalence of atherosclerosis and vascular events in populations eating more whole grains, vegetables, and fruit. [dartmouth.edu]
Pathophysiology
The first chapter stresses the etiology and pathophysiology of childhood stroke as the basis for evaluations and treatment. [books.google.com]
Barnett HIM et al: Stroke: Pathophysiology, Diagnosis and Management, ed. 3. WB Saunders, 1998. [dartmouth.edu]
Kozlov, V.I. and Azizov, G.A. (2007) Pathophysiological Characteristics of Microcirculatory Disorders in Chronic Arterial Ischaemia of Lower Limbs. Angiology and Vascular Surgery, 13, 17-23. [file.scirp.org]
Pathophysiology As a result of brain infarction in case of blood circulation less than 10 ml per 100 g of brain tissue in 1 min zone of focal necrosis is formed. [intranet.tdmu.edu.ua]
Prevention
While some randomized clinical trials have reduced the indications for cerebral revascularization in the secondary prevention of ischemic stroke, a distinct subset of patients with blood pressure augmentation dependent cerebrovascular insufficiency due [ncbi.nlm.nih.gov]
NIH: National Institute of Neurological Disorders and Stroke Preventing stroke (Medical Encyclopedia) Stroke - discharge (Medical Encyclopedia) Thrombolytic therapy (Medical Encyclopedia) [ Read More ] [icdlist.com]
In addition to oleic acid—a heart-protective monounsaturated fatty acid—olive oil also contains several antioxidant agents that prevent circulating LDL cholesterol from becoming damaged and then subsequently damaging the arteries. [doctormurray.com]
Cerebral neovascularization surgery provides new blood supply that can help prevent strokes and TIAs. [weillcornellbrainandspine.org]
[…] with atherosclerotic disease, survival is dependent upon management of myocardial ischemia Correlation has been demonstrated between, & internal carotid artery intimal wall thickness and coronary heart disease incidence Anesthetic management approach: Prevent [pharmacology2000.com]