Occlusive thromboaortopathy (Takayasu's disease): cervical arterial stenoses, retinal arterial pressure, retinal microaneurysms and prognosis.

Abstract:

:Eighty-one young Japanese patients with occlusive thromboaortopathy (Takayasu's disease) were classed into three groups according to the degree and extent of diameter stenosis in the 4 cervical arterial systems, as determined by serial aortography. Class I was made up of 63 patients with 70% or greater stenosis in less than 3 systems, including 33 patients without systemic hypertension (Class Ia). Class II was made up of 6 patients with 70% or greater stenosis in 3 systems and less than 50% stenosis in the remaining 1, including 5 patients without systemic hypertension (Class IIa). Class III was up of 12 patients with 70% or greater stenosis in 3 systems and 50% or greater stenosis in 1 system. Ophthalmodynamometric systolic pressure in patients in Class III was significantly lower than that in patients in Class IIa (p less than 0.001), but there was no significant difference between patients in Classes Ia and IIa. Microaneurysms and/or arteriovenous anastomoses in the retinal vessels were found in all but one patient in Class III and in only one patient in combined Classes I and II. These results indicate that each of the ophthalmodynamometric values and fundoscopic findings are very helpful in identifying the markedly severe occlusive lesions (Class III) of the 4 cervical arterial systems. In this chronic disease, however, angiography is most useful for evaluation of these severe lesions, to monitor progression from Classes I and II to Class III, in which the prognosis is rather poor.

journal_name

Stroke

journal_title

Stroke

authors

Ishikawa K,Uyama M,Asayama K

doi

10.1161/01.str.14.5.730

subject

Has Abstract

pub_date

1983-09-01 00:00:00

pages

730-5

issue

5

eissn

0039-2499

issn

1524-4628

journal_volume

14

pub_type

杂志文章

相关文献

STROKE文献大全
  • Measurement variability in duplex scan assessment of carotid atherosclerosis.

    abstract:BACKGROUND AND PURPOSE:The reproducibility of duplex scan measures of carotid atherosclerosis was evaluated as part of a study assessing the prevalence of carotid disease in elderly adults. METHODS:Doppler measures of blood flow velocity were used to evaluate disease severity, and extent of carotid plaque was scored f...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.23.2.215

    authors: Sutton-Tyrrell K,Wolfson SK Jr,Thompson T,Kelsey SF

    更新日期:1992-02-01 00:00:00

  • Ischemic Core and Hypoperfusion Volumes Correlate With Infarct Size 24 Hours After Randomization in DEFUSE 3.

    abstract::Background and Purpose- Accurate prediction of the subsequent infarct volume early after stroke onset helps determine appropriate interventions and prognosis. In the DEFUSE 3 trial (Endovascular Therapy Following Imaging Evaluation for Ischemic Stroke), we evaluated the accuracy of baseline ischemic core and hypoperfu...

    journal_title:Stroke

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/STROKEAHA.118.023177

    authors: Rao V,Christensen S,Yennu A,Mlynash M,Zaharchuk G,Heit J,Marks MP,Lansberg MG,Albers GW

    更新日期:2019-03-01 00:00:00

  • Analysis of endoglin expression in normal brain tissue and in cerebral arteriovenous malformations.

    abstract:BACKGROUND AND PURPOSE:A high incidence of arteriovenous malformations (AVMs) is associated with hereditary hemorrhagic telangiectasia type 1. Endoglin, the gene mutated in this disorder, is expressed at reduced levels on blood vessels of these patients. Since endoglin is a component of the transforming growth factor-b...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.31.11.2653

    authors: Matsubara S,Bourdeau A,terBrugge KG,Wallace C,Letarte M

    更新日期:2000-11-01 00:00:00

  • Impact of chronic kidney disease on carotid atherosclerosis according to blood pressure category: the Suita study.

    abstract:BACKGROUND AND PURPOSE:We aimed to clarify the association of chronic kidney disease (CKD) with carotid atherosclerosis and the impact of CKD on carotid atherosclerosis according to blood pressure categories in an urban general population. METHODS:We studied 3466 Japanese individuals (35-93 years old) in the Suita Stu...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.002957

    authors: Ohara T,Kokubo Y,Toyoda K,Watanabe M,Koga M,Nakamura S,Nagatsuka K,Minematsu K,Nakagawa M,Miyamoto Y

    更新日期:2013-12-01 00:00:00

  • Minimally invasive surgery for spontaneous supratentorial intracerebral hemorrhage: a meta-analysis of randomized controlled trials.

    abstract:BACKGROUND AND PURPOSE:There has been a nonstandard surgical procedure and extensive international controversy in minimally invasive surgery (MIS) for the management of spontaneous supratentorial intracerebral hemorrhage. This meta-analysis assessed the effectiveness of MIS as compared with other treatment options, inc...

    journal_title:Stroke

    pub_type: 杂志文章,meta分析

    doi:10.1161/STROKEAHA.112.667535

    authors: Zhou X,Chen J,Li Q,Ren G,Yao G,Liu M,Dong Q,Guo J,Li L,Guo J,Xie P

    更新日期:2012-11-01 00:00:00

  • Misdiagnosis of symptomatic cerebral aneurysm. Prevalence and correlation with outcome at four institutions.

    abstract:BACKGROUND AND PURPOSE:It is not known what fraction of patients with symptomatic cerebral aneurysms are misdiagnosed at initial medical presentation. It is also not clear whether misdiagnosed patients more frequently deteriorate before definitive aneurysm diagnosis and therapy or achieve a poorer outcome than correctl...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.27.9.1558

    authors: Mayer PL,Awad IA,Todor R,Harbaugh K,Varnavas G,Lansen TA,Dickey P,Harbaugh R,Hopkins LN

    更新日期:1996-09-01 00:00:00

  • Reduction in distal emboli with proximal flow control during mechanical thrombectomy: a quantitative in vitro study.

    abstract:BACKGROUND AND PURPOSE:To evaluate the impact of proximal flow control on efficacy and safety of mechanical thrombectomy in an in vitro middle cerebral artery occlusion. METHODS:Three independent variables, including clot type, device (Merci Retriever, Solitaire FR, and Trevo devices), and use of a balloon guide cathe...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.111.670463

    authors: Chueh JY,Kühn AL,Puri AS,Wilson SD,Wakhloo AK,Gounis MJ

    更新日期:2013-05-01 00:00:00

  • The electrocardiogram in stroke: relationship to pathophysiological type and comparison with prior tracings.

    abstract::The author reviewed electrocardiographic records of 150 patients with acute stroke and 150 age- and sex-matched controls, to assess the relative frequencies of ECG abnormalities among the pathophysiologic categories of stroke, and to distinguish new abnormalities at the time of the stroke from those noted on prior tra...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.10.3.253

    authors: Goldstein DS

    更新日期:1979-05-01 00:00:00

  • Does acupuncture improve motor recovery after stroke? A meta-analysis of randomized controlled trials.

    abstract:BACKGROUND AND PURPOSE:Acupuncture may be a promising treatment for poststroke paralysis. We conducted a meta-analysis, assessing the efficacy of acupuncture with and without stroke rehabilitation. METHODS:We identified randomized trials comparing acupuncture with no acupuncture within 6 months of stroke by searching ...

    journal_title:Stroke

    pub_type: 杂志文章,meta分析

    doi:10.1161/01.str.0000035908.74261.c9

    authors: Sze FK,Wong E,Or KK,Lau J,Woo J

    更新日期:2002-11-01 00:00:00

  • Lesion location predicts transient and extended risk of aspiration after supratentorial ischemic stroke.

    abstract:BACKGROUND AND PURPOSE:To assess the association of lesion location and risk of aspiration and to establish predictors of transient versus extended risk of aspiration after supratentorial ischemic stroke. METHODS:Atlas-based localization analysis was performed in consecutive patients with MRI-proven first-time acute s...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/STROKEAHA.113.001690

    authors: Galovic M,Leisi N,Müller M,Weber J,Abela E,Kägi G,Weder B

    更新日期:2013-10-01 00:00:00

  • Prospective study of major dietary patterns and stroke risk in women.

    abstract:BACKGROUND AND PURPOSE:Many foods have been suggested to influence the risk of stroke. However, no previous studies have examined the relationship between overall dietary patterns and risk of stroke. METHODS:Using dietary information collected in 1984 from 71,768 women aged 38 to 63 years without a history of cardiova...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000135762.89154.92

    authors: Fung TT,Stampfer MJ,Manson JE,Rexrode KM,Willett WC,Hu FB

    更新日期:2004-09-01 00:00:00

  • Brain temperature modulations during global ischemia fail to influence extracellular lactate levels in rats.

    abstract:BACKGROUND AND PURPOSE:While brain tissue lactate increases during cerebral ischemia and is known to be important in the pathogenesis of ischemic brain injury, patterns of extracellular lactate accumulation have been less well characterized, and the influence of brain temperature has not been previously investigated. M...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.26.9.1634

    authors: Lin B,Busto R,Globus MY,Martinez E,Ginsberg MD

    更新日期:1995-09-01 00:00:00

  • Embolic stroke by compression maneuver during transcranial Doppler sonography.

    abstract:BACKGROUND AND PURPOSE:Embolic complications during ultrasound examinations are a rare cause of neurological deficits. The present case documents the occurrence of embolism by a nonobstructive compression maneuver during transcranial Doppler examination, resulting in a minor stroke. CASE DESCRIPTION:A 63-year-old man ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.25.5.1056

    authors: Khaffaf N,Karnik R,Winkler WB,Valentin A,Slany J

    更新日期:1994-05-01 00:00:00

  • Overexpression of CuZn-SOD prevents lipopolysaccharide-induced endothelial dysfunction.

    abstract:BACKGROUND AND PURPOSE:Inflammation is thought to be a major contributor to carotid artery disease. Lipopolysaccharide (LPS) activates inflammatory mechanisms thought to contribute to endothelial dysfunction by mechanisms that are not well defined. The goal of this study was to determine whether overexpression of CuZn-...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000132764.06878.c5

    authors: Didion SP,Kinzenbaw DA,Fegan PE,Didion LA,Faraci FM

    更新日期:2004-08-01 00:00:00

  • A quantitative study of the emotional outcome of people caring for stroke survivors.

    abstract:BACKGROUND AND PURPOSE:Although the physical and, to a lesser extent, emotional outcome of stroke survivors has been well documented, there are far fewer data relating to the outcomes of those who care for them. We aimed to describe the outcome of those caring for stroke patients and to identify both patient and caregi...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.29.9.1867

    authors: Dennis M,O'Rourke S,Lewis S,Sharpe M,Warlow C

    更新日期:1998-09-01 00:00:00

  • Population-Based Study of Cerebral Microbleeds in Stroke-Free Older Adults Living in Rural Ecuador: The Atahualpa Project.

    abstract:BACKGROUND AND PURPOSE:Prevalence of cerebral microbleeds (CMB) in white and Asian populations range from 4% to 15%. However, there is no information from indigenous Latin American people. We aimed to assess prevalence and cerebrovascular correlates of CMB in stroke-free older adults living in rural Ecuador. METHODS:O...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.115.009594

    authors: Del Brutto VJ,Zambrano M,Mera RM,Del Brutto OH

    更新日期:2015-07-01 00:00:00

  • Experimental acute thrombotic stroke in baboons.

    abstract::To study the effects of antithrombotic therapy in experimental stroke, we have characterized a baboon model of acute cerebrovascular thrombosis. In this model an inflatable silastic balloon cuff has been implanted by transorbital approach around the right middle cerebral artery (MCA), proximal to the take-off of the l...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.17.6.1254

    authors: Del Zoppo GJ,Copeland BR,Harker LA,Waltz TA,Zyroff J,Hanson SR,Battenberg E

    更新日期:1986-11-01 00:00:00

  • Anterior choroidal artery territory infarcts. Study of presumed mechanisms.

    abstract:BACKGROUND AND PURPOSE:A previous study suggested that occlusive diseases of small penetrating arteries account for most anterior choroidal artery (AChA) territory infarcts, but half of the patients did not have an echocardiogram. Cases of AChA territory infarcts associated with internal carotid artery stenosis or atri...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.25.4.837

    authors: Leys D,Mounier-Vehier F,Lavenu I,Rondepierre P,Pruvo JP

    更新日期:1994-04-01 00:00:00

  • Association of plasma homocysteine concentration with atherosclerotic carotid plaques and lacunar infarction.

    abstract:BACKGROUND AND PURPOSE:Higher plasma total homocysteine (tHcy) levels have been associated with carotid atherosclerosis and cerebral infarction in whites. However, data regarding such associations are limited for Asians. This study examined associations between tHcy levels and severity of carotid atherosclerosis in Jap...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.0000016463.01398.d0

    authors: Sasaki T,Watanabe M,Nagai Y,Hoshi T,Takasawa M,Nukata M,Taguchi A,Kitagawa K,Kinoshita N,Matsumoto M

    更新日期:2002-06-01 00:00:00

  • Mevastatin, an HMG-CoA reductase inhibitor, reduces stroke damage and upregulates endothelial nitric oxide synthase in mice.

    abstract:BACKGROUND AND PURPOSE:The 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors (statins) lower serum cholesterol and decrease the incidence of stroke and cardiovascular disease. There is growing evidence that statins exert some of their beneficial effects independent of cholesterol lowering. Indeed, we...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.32.4.980

    authors: Amin-Hanjani S,Stagliano NE,Yamada M,Huang PL,Liao JK,Moskowitz MA

    更新日期:2001-04-01 00:00:00

  • Reliability of the National Institutes of Health Stroke Scale. Extension to non-neurologists in the context of a clinical trial.

    abstract:BACKGROUND AND PURPOSE:The reliability of the National Institutes of Health Stroke Scale (NIHSS) has been established through testing its use in live and videotaped patients. This reliability testing has primarily focused on the use of the scale by neurologists. We sought to determine the reliability of the NIHSS as us...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.28.2.307

    authors: Goldstein LB,Samsa GP

    更新日期:1997-02-01 00:00:00

  • Is diabetic retinopathy an independent risk factor for ischemic stroke?

    abstract:BACKGROUND AND PURPOSE:The relationship between diabetic retinopathy and ischemic stroke is uncertain and examined in this study. METHODS:A population-based, prospective cohort study of 1617 middle-aged persons with diabetes. Diabetic retinopathy signs were ascertained from retinal photographs, and incident ischemic s...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000254547.91276.50

    authors: Cheung N,Rogers S,Couper DJ,Klein R,Sharrett AR,Wong TY

    更新日期:2007-02-01 00:00:00

  • Three-dimensional MRI analysis of individual volume of Lacunes in CADASIL.

    abstract:BACKGROUND AND PURPOSE:Three-dimensional MRI segmentation may be useful to better understand the physiopathology of lacunar infarctions. Using this technique, the distribution of lacunar infarctions volumes has been recently reported in patients with cerebral autosomal-dominant arteriopathy with subcortical infarcts an...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.108.520825

    authors: Hervé D,Godin O,Dufouil C,Viswanathan A,Jouvent E,Pachaï C,Guichard JP,Bousser MG,Dichgans M,Chabriat H

    更新日期:2009-01-01 00:00:00

  • De novo aneurysm formation and growth of untreated aneurysms: a 5-year MRA follow-up in a large cohort of patients with coiled aneurysms and review of the literature.

    abstract:BACKGROUND AND PURPOSE:Rates of development of de novo intracranial aneurysms and of growth of untreated additional aneurysms are largely unknown. We performed MRA in a large patient cohort with coiled aneurysms at 5-year follow-up. METHODS:In 276 patients with coiled intracranial aneurysms and 5±0.5 years of follow-u...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究,评审

    doi:10.1161/STROKEAHA.110.591594

    authors: Ferns SP,Sprengers ME,van Rooij WJ,van den Berg R,Velthuis BK,de Kort GA,Sluzewski M,van Zwam WH,Rinkel GJ,Majoie CB

    更新日期:2011-02-01 00:00:00

  • Barthel index for stroke trials: development, properties, and application.

    abstract:BACKGROUND AND PURPOSE:Robust measures of functional outcome are required to determine treatment effects in stroke trials. Of the various measures available, the Barthel index (BI) is one of the more prevalent. We aimed to describe validity, reliability, and responsiveness (clinimetric properties) of the BI in stroke t...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/STROKEAHA.110.598540

    authors: Quinn TJ,Langhorne P,Stott DJ

    更新日期:2011-04-01 00:00:00

  • Prolonged hypoperfusion and early stroke after transient ischemic attack.

    abstract::Many patients suffer a stroke early after a transient ischemic attack, but the reason why is often unclear. We studied 12 patients with less than 75% stenosis of the internal carotid artery and a single hemispheric transient ischemic attack lasting less than 1 hour who had a normal neurologic examination 3-13 hours la...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.21.1.40

    authors: Bogousslavsky J,Delaloye-Bischof A,Regli F,Delaloye B

    更新日期:1990-01-01 00:00:00

  • Relation of coronary atherosclerosis and apolipoprotein E genotypes in Alzheimer patients.

    abstract:BACKGROUND AND PURPOSE:Apolipoprotein E (apoE) epsilon 4 allele has been associated with a high risk for coronary heart disease. Increased frequency of the epsilon 4 allele has also been reported in patients with late-onset familial and sporadic Alzheimer's disease (AD). The aim of this study was to investigate the deg...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.26.5.743

    authors: Kosunen O,Talasniemi S,Lehtovirta M,Heinonen O,Helisalmi S,Mannermaa A,Paljärvi L,Ryynänen M,Riekkinen PJ Sr,Soininen H

    更新日期:1995-05-01 00:00:00

  • Arterial stiffness, cognitive decline, and risk of dementia: the Rotterdam study.

    abstract:BACKGROUND AND PURPOSE:Arterial stiffness is associated with an increased risk of myocardial infarction and stroke, independent of classical vascular risk factors. Vascular factors and stroke are associated with cognitive function and dementia. We examined whether arterial stiffness was independently associated with co...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000257998.33768.87

    authors: Poels MM,van Oijen M,Mattace-Raso FU,Hofman A,Koudstaal PJ,Witteman JC,Breteler MM

    更新日期:2007-03-01 00:00:00

  • Effect of white matter changes on cognitive impairment in patients with lacunar infarcts.

    abstract:BACKGROUND AND PURPOSE:Cerebral white matter changes (WMC) and lacunar infarct are both believed to be consequence of small vessel disease. Whether the extent of WMC affect the type and degree of cognitive impairment in patients with lacunar infarct is not clear. The study was undertaken to determine if WMC influences ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000133686.29320.58

    authors: Wen HM,Mok VC,Fan YH,Lam WW,Tang WK,Wong A,Huang RX,Wong KS

    更新日期:2004-08-01 00:00:00

  • Cerebral infarction immediately after ingestion of hydrogen peroxide solution.

    abstract:BACKGROUND:We report the clinical and neuroimaging findings of a patient who sustained multiple cerebral infarcts after the ingestion of concentrated hydrogen peroxide solution sold as a "health food" product. CASE DESCRIPTION:An 84-year-old man sustained focal neurological deficits immediately after ingesting 30 mL o...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.25.5.1065

    authors: Sherman SJ,Boyer LV,Sibley WA

    更新日期:1994-05-01 00:00:00