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Intracranial Atherosclerosis by Jong S. Kim, Louis R. Caplan, K. S. Lawrence Wong

By Jong S. Kim, Louis R. Caplan, K. S. Lawrence Wong

Intracranial atherosclerosis is the dominant explanation for stroke in over 70% of the world’s inhabitants. Globalization is resulting in an more and more heterogeneous society all over the place. Advances in imaging techinology let this formerly inaccessible pathology to be clinically studied.Edited by way of across the world popular clinicians, Intracranial Atherosclerosis is the 1st ebook to check intracranial reasons of stroke. scientific perform is allied with easy technological know-how to lead all people with an curiosity in stroke at the prognosis and administration of intracranial atherosclerosis.

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49 According to a study on human coronary and cerebral atherosclerosis, the character of atherosclerotic lesions, the meaning of terms “normal intima”/“fatty streaks”/“fibrous plaques”/“complicated lesions,” the type of the early atherosclerotic lesions, the age of onset of these lesions, their sequence of development, their relationship to advanced lesions, all appear method-dependent. Gross inspection alone may lead us to have a distorted view on the natural history of atherosclerosis, because items such as intimal necrosis, incorporated microthrombi, fibromuscular plaques, mucoid plaques, and foam cell-rich plaques may be overlooked.

Multicenter results and a review of the literature. Cerebrovasc Dis 2000; 10: 170–182. 2 Atherosclerosis has traditionally been viewed to simply reflect the deposition of lipids. However, this concept has now been changed. 3 Atherosclerosis involves multiple arteries throughout the body, including the aorta, coronary arteries, arteries of inner organs, or the limbs. Atherosclerosis may affect major intracranial and extracranial arteries. In intracranial vessels, atherosclerosis occurs in the setting of widespread vascular disease.

The vertebral artery may also terminate in the PICA rather than ex- tend to the junction with the basilar artery. In such cases, the vertebral artery is generally smaller than the contralateral vertebral artery. The terminal vertebral artery yields several branches that supply the rostral end of the spinal cord and posterior inferior aspect of the cerebellum. Anterior and posterior spinal arteries extend from this segment. Each anterior spinal artery fuses with its counterpart, supplying the ventral medulla and rostral spinal cord.

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