Document Detail


Cerebral microangiopathy in the mosaic of new discoveries.
MedLine Citation:
PMID:  15760613     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
After a short historical note on the diversion of the vascular concept of dementia from that of primary degeneration, this review describes cerebral deterioration on vascular grounds in three levels. Occlusions of big vessels with a single major infarct, middle calibre vasculopathy with multiple lacunes and finally microangiopathy causing leukoaraiosis--all these three entities produce cognitive disorders. Changes in the vessel wall, in cerebral blood flow velocity, the territorial and interterritorial rules for the location of malacia or lacunes are reviewed using neuroradiologic aspects revealed by ultrasound, by CT and MRI. Alterations in diffusion and their measurements by MRI are discussed in regard to ultrastructural reactions to ischaemia. Thresholds for tissue deterioration are shown in association with ATP depletion and with pathologic compounds in the interstitium.
Authors:
Pavel Kalvach; Daniela Gregová
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2004-12-24
Journal Detail:
Title:  Journal of the neurological sciences     Volume:  229-230     ISSN:  0022-510X     ISO Abbreviation:  J. Neurol. Sci.     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-03-11     Completed Date:  2005-05-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375403     Medline TA:  J Neurol Sci     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  7-12     Citation Subset:  IM    
Affiliation:
Department of Neurology, Charles University, 3rd Medical Faculty, FNKV, Srobárova 50, 100 00 Prague 10, Czech Republic.
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MeSH Terms
Descriptor/Qualifier:
Aged
Alzheimer Disease / diagnosis,  pathology
Atrophy
Cerebrovascular Disorders / diagnosis,  pathology
Dementia, Vascular / diagnosis*,  epidemiology,  etiology
Hippocampus / pathology
Humans

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