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Acute cerebrovascular incident in a young woman: Venous or arterial stroke? – Comparative analysis based on two case reports
BACKGROUND: Cerebrovascular diseases are the most common neurological disorders. Most of them are arterial strokes, mainly ischemic, less often of hemorrhagic origin. Changes in the course of cerebral venous thrombosis are less common causes of acute cerebrovascular events. Clinical and radiological...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3908512/ https://www.ncbi.nlm.nih.gov/pubmed/24505227 http://dx.doi.org/10.12659/PJR.889616 |
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author | Sleiman, Katarzyna Zimny, Anna Kowalczyk, Edyta Sąsiadek, Marek |
author_facet | Sleiman, Katarzyna Zimny, Anna Kowalczyk, Edyta Sąsiadek, Marek |
author_sort | Sleiman, Katarzyna |
collection | PubMed |
description | BACKGROUND: Cerebrovascular diseases are the most common neurological disorders. Most of them are arterial strokes, mainly ischemic, less often of hemorrhagic origin. Changes in the course of cerebral venous thrombosis are less common causes of acute cerebrovascular events. Clinical and radiological presentation of arterial and venous strokes (especially in emergency head CT) may pose a diagnostic problem because of great resemblance. However, the distinction between arterial and venous stroke is important from a clinical point of view, as it carries implications for the treatment and determinates patient’s prognosis. CASE REPORT: In this article, we present cases of two young women (one with an acute venous infarction, the second with an arterial stroke) who presented with similar both clinical and radiological signs of acute vascular incident in the cerebral cortex. We present main similarities and differences between arterial and venous strokes regarding the etiology, clinical symptoms and radiological appearance in various imaging techniques. CONCLUSIONS: We emphasize that thorough analysis of CT (including cerebral vessels), knowledge of symptoms and additional clinical information (e.g. risk factors) may facilitate correct diagnosis and allow planning further diagnostic imaging studies. We also emphasize the importance of MRI, especially among young people, in the differential diagnosis of venous and arterial infarcts. |
format | Online Article Text |
id | pubmed-3908512 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-39085122014-02-06 Acute cerebrovascular incident in a young woman: Venous or arterial stroke? – Comparative analysis based on two case reports Sleiman, Katarzyna Zimny, Anna Kowalczyk, Edyta Sąsiadek, Marek Pol J Radiol Case Report BACKGROUND: Cerebrovascular diseases are the most common neurological disorders. Most of them are arterial strokes, mainly ischemic, less often of hemorrhagic origin. Changes in the course of cerebral venous thrombosis are less common causes of acute cerebrovascular events. Clinical and radiological presentation of arterial and venous strokes (especially in emergency head CT) may pose a diagnostic problem because of great resemblance. However, the distinction between arterial and venous stroke is important from a clinical point of view, as it carries implications for the treatment and determinates patient’s prognosis. CASE REPORT: In this article, we present cases of two young women (one with an acute venous infarction, the second with an arterial stroke) who presented with similar both clinical and radiological signs of acute vascular incident in the cerebral cortex. We present main similarities and differences between arterial and venous strokes regarding the etiology, clinical symptoms and radiological appearance in various imaging techniques. CONCLUSIONS: We emphasize that thorough analysis of CT (including cerebral vessels), knowledge of symptoms and additional clinical information (e.g. risk factors) may facilitate correct diagnosis and allow planning further diagnostic imaging studies. We also emphasize the importance of MRI, especially among young people, in the differential diagnosis of venous and arterial infarcts. International Scientific Literature, Inc. 2013 2013-11-19 /pmc/articles/PMC3908512/ /pubmed/24505227 http://dx.doi.org/10.12659/PJR.889616 Text en © Pol J Radiol, 2013 This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited. |
spellingShingle | Case Report Sleiman, Katarzyna Zimny, Anna Kowalczyk, Edyta Sąsiadek, Marek Acute cerebrovascular incident in a young woman: Venous or arterial stroke? – Comparative analysis based on two case reports |
title | Acute cerebrovascular incident in a young woman: Venous or arterial stroke? – Comparative analysis based on two case reports |
title_full | Acute cerebrovascular incident in a young woman: Venous or arterial stroke? – Comparative analysis based on two case reports |
title_fullStr | Acute cerebrovascular incident in a young woman: Venous or arterial stroke? – Comparative analysis based on two case reports |
title_full_unstemmed | Acute cerebrovascular incident in a young woman: Venous or arterial stroke? – Comparative analysis based on two case reports |
title_short | Acute cerebrovascular incident in a young woman: Venous or arterial stroke? – Comparative analysis based on two case reports |
title_sort | acute cerebrovascular incident in a young woman: venous or arterial stroke? – comparative analysis based on two case reports |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3908512/ https://www.ncbi.nlm.nih.gov/pubmed/24505227 http://dx.doi.org/10.12659/PJR.889616 |
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