Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

30 November 1999

Cerebral circulation insufficiency – correlation of CTA-visualized atherosclerotic lesions in extra- and intracranial arteries

Katarzyna Gruszczyńska, Jan Baron, Zbigniew Zieliński, Jerzy Walecki, Jan Gniadek, Krzysztof Czernicki

Med Sci Monit 2004; 10(3): 71-79 :: ID: 878556

Abstract

Backghround: To analyze the co-occurrence of atherosclerotic lesions in CT angiograms of extra- and intracranial arteries in patients with cerebral circulation insufficiency.
Material and Methods: Extra- and intracranial CTA was performed in 70 patients with symptoms of cerebral circulation insufficiency. Co-occurrence of atherosclerotic lesions at both levels and correlation between the degree of atherosclerosis and sex, age, and clinical symptoms were evaluated. Intracranial CTA results were compared to those of the control group, which consisted of 34 subjects asymptomatic of cerebral circulation insufficiency. The usefulness of various data reconstruction techniques (MIP and MPR vs. MIP only) for the evaluation of intracranial stenosis was subjected to independent analysis by two radiologists.
Results: Concomitant occurrence of extra- and intracranial lesions was diagnosed in 56% of patients examined. A statistically significant correlation was found between the degree of stenosis at both levels under consideration (χ2=81.452; p<0.00001; contingency coefficient CC=0.733). A significant correlation was found between the development of clinical symptoms and the severity of extraand intracranial stenosis. The consistency between % representation of CTA-detected intracranial carotid stenosis, as independently analyzed by two radiologists, was higher in combined MIP & MPR than in MIP only (correlation coefficient R=0.9924, p<0.00001).
Conclusions: There was a statistically significant correlation found between extra- and intracranial arterial stenosis in patients with symptoms of cerebral circulation insufficiency indicating that cervical and cerebral stenosis tend to occur concomitantly. Combination of MIP & MPR seemed the optimum CTA post-processing technique when evaluating the intracranial arteries.

Keywords: carotid and cerebral arteries, atherosclerosis, CTA, Atherosclerosis - radiography, Brain - radiography, Brain Ischemia - radiography, Carotid Arteries - radiography, Carotid Stenosis - radiography, Case-Control Studies, Cerebral Angiography - methods, Cerebrovascular Circulation, Radiographic Image Interpretation, Computer-Assisted - methods, Stroke - radiography, Tomography, X-Ray Computed - methods

0 Comments

Editorial

15 August 2022 : Editorial  

Editorial: The Metabolic (Dysfunction) Associated Fatty Liver Disease (MAFLD)-Non-Alcoholic Fatty Liver Disease (NAFLD) Debate: A Forced Consensus and The Risk of a World Divide

Nahum Méndez-Sánchez, Ming-Hua Zheng, Takumi Kawaguchi, Shiv K. Sarin
Liver Research Unit, Medica Sur Clinic & Foundation and Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico

DOI: 10.12659/MSM.938080

Med Sci Monit 2022; 28:e938080

In Press

12 Aug 2022 : Clinical Research  

Risk Factors and Pathogen Spectrum in Continuous Ambulatory Peritoneal Dialysis-Associated Peritonitis: A S...

Med Sci Monit In Press; DOI: 10.12659/MSM.937112  

11 Aug 2022 : Meta-Analysis  

Optimal Surgical Treatment Method for Anterior Cruciate Ligament Rupture: Results from a Network Meta-Analysis

Med Sci Monit In Press; DOI: 10.12659/MSM.937118  

10 Aug 2022 : Review article  

Programmed Cell Death in Diabetic Nephropathy: A Review of Apoptosis, Autophagy, and Necroptosis

Med Sci Monit In Press; DOI: 10.12659/MSM.937766  

10 Aug 2022 : Database Analysis  

Use and Effects of Augmentation of Labor with Oxytocin: A Single-Center, Retrospective, Case-Control Study ...

Med Sci Monit In Press; DOI: 10.12659/MSM.937557  

Most Viewed Current Articles

30 Dec 2021 : Clinical Research  

Retrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...

DOI :10.12659/MSM.935379

Med Sci Monit 2021; 27:e935379

13 Nov 2021 : Clinical Research  

Acceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...

DOI :10.12659/MSM.932788

Med Sci Monit 2021; 27:e932788

08 Mar 2022 : Review article  

A Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...

DOI :10.12659/MSM.936292

Med Sci Monit 2022; 28:e936292

01 Nov 2020 : Review article  

Long-Term Respiratory and Neurological Sequelae of COVID-19

DOI :10.12659/MSM.928996

Med Sci Monit 2020; 26:e928996

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750