Departments of Neurology and Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China.
CNS Neurosci Ther. 2018 Jan;24(1):5-17. doi: 10.1111/cns.12780. Epub 2017 Nov 15.
Chronic cerebral circulation insufficiency (CCCI) may not be an independent disease; rather, it is a pervasive state of long-term cerebral blood flow insufficiency caused by a variety of etiologies, and considered to be associated with either occurrence or recurrence of ischemic stroke, vascular cognitive impairment, and development of vascular dementia, resulting in disability and mortality worldwide. This review summarizes the features and recent progress of CCCI, mainly focusing on epidemiology, experimental research, pathophysiology, etiology, clinical manifestations, imaging presentation, diagnosis, and potential therapeutic regimens. Some research directions are briefly discussed as well.
慢性脑循环不全(CCCI)可能不是一种独立的疾病;而是由多种病因引起的长期脑血流不足的普遍状态,与缺血性脑卒中的发生或复发、血管性认知障碍和血管性痴呆的发展相关,导致全球范围内的残疾和死亡。本文主要就流行病学、实验研究、病理生理学、病因、临床表现、影像学表现、诊断和潜在的治疗方案等方面,对 CCCI 的特点和最新进展进行综述,并简要讨论了一些研究方向。