Etiological and clinical particularities of transient ischemic attack
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LIŞINSCHI, Gabriela, BARANOV, Adriana. Etiological and clinical particularities of transient ischemic attack. In: Archives of the Balkan Medical Union Supliment, 2013, nr. S3(48), p. 61. ISSN 0041-6940.
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Archives of the Balkan Medical Union Supliment
Numărul S3(48) / 2013 / ISSN 0041-6940

Etiological and clinical particularities of transient ischemic attack


Pag. 61-61

Lişinschi Gabriela, Baranov Adriana
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 17 octombrie 2022


Rezumat

Introduction: According to some authors’ data, 1850 % patients with a TIA (transient ischemic attack) develop cerebral infarction during the following years. Purpose: To specify the prevalence of clinical variants and the etiological factors in TIA. Materials and Methods: The study was performed on 84 patients, evaluating the correlation between anamnesis, clinical, radiological data including Doppler and the brain CT results. The patients’ age range was 45-72 years old, 53 were female and 31 male. Results: Depending on the affected cerebral vascular system, the clinical types were divided as following: 16 cases of TIA in the carotid system and 68 cases of TIA in the vertebrobasilar system. The causes of TIA proved to be: atherosclerosis of magistral blood vessels (28 cases); hypertensive emergency (5 cases); hypertensive emergency associated with atherosclerosis of magistral blood vessels (37 cases); cardiac pathology (including valvular prosthesis and cardiostimulators- 9 cases); dysmetabolic syndrome (3 cases); undetermined (2 cases). Conclusions: TIA happens twice more frequently in the vertebrobasilar system than in the carotid system. Main etiological factors remain: atherosclerosis of cerebral blood vessels, hypertension associated with cerebral atherosclerosis and cardiac pathology. Patients with TIA need dynamic monitoring for prevention of cerebral infarction.

Cuvinte-cheie
particularities, transient ischemic attack