Hemodynamic stroke

Authors

  • สิริกัลยา พูลผล งานประสาทวิทยา กลุ่มงานอายุรศาสตร์ โรงพยาบาลราชวิถี

Keywords:

hemodynamic, stroke, watershed infarction, cerebral hypoperfusion, systemic failure

Abstract

Hemodynamic stroke is the cerebral ischemia caused by cerebral hypoperfusion. This may be the results of systemic hypoperfusion state or cerebral vascular disorders such as severe ICA or CCA or VA stenosis or occlusion with cerebral hemodynamic compromised. Most of the signs and symptoms of hemodynamic stroke did not differ from stroke due to other causes. But there are some aspects that are common in hemodynamic stroke, such as limb shaking TIA and the fluctuation of symptoms. The diagnostic tests are mainly radiologic imaging studies. The studies aim to define cause of cerebral ischemia, the feature of cranial arteries and measurement of cerebral perfusion, which contains several methods such as CT / MRI brain, CT angiogram, MR angioram, digital subtraction angiogram and perfusion CT/MRI. The treatment of hemodynamic stroke based on correction the cause of hemodynamic failure and correct the vascular pathological potential causing decrease in cerebral perfusion pressure and poor collateral circulation.

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Published

2019-02-14

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1.
พูลผล ส. Hemodynamic stroke. J Thai Stroke Soc [Internet]. 2019 Feb. 14 [cited 2024 Jul. 20];14(2):86-93. Available from: https://he01.tci-thaijo.org/index.php/jtss/article/view/172296

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