Kanareĭkin K F, Kutchak E N
Zh Nevropatol Psikhiatr Im S S Korsakova. 1981;81(9):1281-4.
On the basis of analyzing the clinical picture of the disease in 81 patients with cerebral atherosclerosis the authors come to a conclusion that the transitory cerebral circulation disturbances exhibited by these patients after an ischemic stroke were usually due to a combined affection of the carotid and the vertebrobasilar arteries. In all these patients the ischemic focus was localized in the brain hemispheres within the basin of the median or posterior cerebral arteries and manifested in moderate focal symptoms. The disturbances usually arose some months or years after the stroke, and pointed, as a rule, to an insufficiency of the circulation in the brain trunk. The appearance of the transitory cerebral circulation disturbances after an ischemic stroke may be, probably, a consequence and manifested in moderate focal symptoms. The disturbances usually arose some months or years after the stroke, and pointed, as a rule, to an insufficiency of the circulation in the brain trunk. The appearance of the transitory cerebral circulation disturbances after an ischemic stroke may be, probably, a consequence and manifested in moderate focal symptoms. The disturbances usually arose some months or years after the stroke, and pointed, as a rule, to an insufficiency of the circulation in the brain trunk. The appearance of the transitory cerebral circulation disturbances after an ischemic stroke may be, probably, a consequence of a circulatory decompensation resulting from progressing atherosclerotic changes of the cerebral vessels, or may be due to a cerebrovascular insufficiency because of arterial pressure fluctuations or a cardiac disease.
在对81例脑动脉粥样硬化患者的疾病临床表现进行分析的基础上,作者得出结论:这些患者在缺血性中风后出现的短暂性脑循环障碍通常是由于颈内动脉和椎基底动脉的合并病变所致。在所有这些患者中,缺血灶位于大脑半球大脑中动脉或大脑后动脉供血区内,表现为中度局灶性症状。这些障碍通常在中风后数月或数年出现,通常表明脑干循环不足。缺血性中风后短暂性脑循环障碍的出现可能是脑血管进行性动脉粥样硬化改变导致循环失代偿的结果,也可能是由于动脉血压波动或心脏病引起的脑血管功能不全所致。