경동맥 스텐트 삽입술에 의해 회복을 보인 관류저하성 치매
A Case of Hypoperfusion Dementia Recovered by Carotid Stenting
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Cortical hypoperfusion is related to cognitive and neuropsychiatric symptoms and signs. It is suggested that disruption of the frontal-subcortical circuit or perfusion deficits by remote vascular stenosis may play an important role in patients with vascular dementia. We report a case of acute hypoperfusion dementia that showed improvement of cognitive impairment and hemodynamic recovery after stent insertion. Extensive perfusion deficits caused by carotid artery stenosis with secondary hypometabolism in the hemispheric region may be a cause of reversible vascular dementia syndrome.
Abstract
Cortical hypoperfusion is related to cognitive and neuropsychiatric symptoms and signs. It is suggested that disruption of the frontal-subcortical circuit or perfusion deficits by remote vascular stenosis may play an important role in patients with vascular dementia. We report a case of acute hypoperfusion dementia that showed improvement of cognitive impairment and hemodynamic recovery after stent insertion. Extensive perfusion deficits caused by carotid artery stenosis with secondary hypometabolism in the hemispheric region may be a cause of reversible vascular dementia syndrome.
참고문헌 (12)
- Prencipe M, "Stroke, disability ,and dementia. Results of a population survey", Stroke, 28, pp.531~536 (1997)
- Erkinjuntti T, "Cerebrovascular dementia. Pathophysiology, diagnosis and treatment", CNS Drugs, 12, pp.35~48 (1999)
- Bowler JV, "Conceptual background to vascular cognitive impairment", Alzheimer Dis Assoc Disord, 13, pp.30~37 (1999)
- Roman GC, "Vascular dementia revisited: diagnosis, pathogenesis, treatment, and prevention", Med Clin North Am, 86, pp.477~499 (2002)
- Rockwood K, "Subtypes of vascular dementia", Alzheimer Dis Assoc Disord, 13, pp.14~23 (1999)
- Erkinjuntti T, "Clinical deficits of Alzheimer’s disease with cerebrovascular disease and probable VaD", Int J Clin Pract, 120, pp.S14~S23 (2001)
- Leys D, "Vascular dementia: the role of cerebral infarcts", Alzheimer Dis Assoc Disord, 13, pp.38~48 (1999)
- Tatemichi TK, "Dementia associated with bilateral carotid occlusion: neuropsychological and haemodynamic course after extracranial to intracranial bypass surgery", J Neurol Neurosurg Psychiatry, 58, pp.633~636 (1995)
- Sakoh M, "Bilateral carotid stenting for bilateral carotid artery stenosis improved vascular dementia", No Shinkei Geke, 30, pp.759~765 (2002)
- Johnston SC, "Cognitive impairment and decline are associated with carotid artery disease in patients without clinical evident cerebrovascular disease", Ann Intern Med, 140, pp.230~247 (2004)
- Barth A, "Thalamic infarcts and hemorrhages In: Stroke syndromes", pp.169~181 (1995), cambridge University Press.
- Tatemichi TK, "Strategic infarcts in vascular dementia. A clinical and brain experience", Arzneimittelforschung, 45, pp.371~385 (1995)