Abstract
In this section we would like to describe one specific area where agents for the prevention of thrombosis and embolism may be important: cerebrovascular disease. This can be the result of a variety of disturbances and though there is rarely only one factor responsible (Yates and Hutchinson, 1961; Zülch, 1967), it is most frequently caused by local factors such as arteriosclerotic changes of the vessel wall, leading to stenosis, thrombotic occlusion of the lumen, or embolism. The latter usually occurs as macroembolism, mainly of cardiac origin, or as microembolism originating probably from ulcerated atherosclerotic neck arteries. Microemboli are at present considered as a frequent cause of Transient Ischemic Attacks, however, they play only a minor role in the pathogenesis of longer duration ischemic lesions (Fisher, 1961). The reported frequencies of embolism vary widely between 5% and 46% (Glynn, 1956; Jörgensen and Torvik, 1966). Kurtzke (1969), in reviewing several clinical, postmortem, and epidemiologic studies, suggested that about 10% of thromboembolic occlusive disease was due to embolism.
Supported by a grant of Verband der Lebensversicherungs-Unternehmen e.V., Boon
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ad Hoc Committee: A classification and outline of cerebrovascular diseases. Neurology (Minneap.) 8, 395–434 (1958)
Adler, E.: Stroke in Israel, 1957–1961. Epidemiological, Clinical, Rehabilitation and Psychological Aspects. Jerusalem/Israel: Polypress Ltd. 1969
Berry, R.G.: The vascular lesion in cerebral softenings. Trans. Amer. neurol. Ass. 84, 49–53 (1959)
Bokonjić, R., Zec, N.: Strokes and the weather. A quantitative statistical study. J. neurol. Sci. 6, 483–491 (1968)
Carter, A.B.: Cerebral Infarction. Oxford-London-Edingburgh-New York-Paris-Frankfurt: Pergamon Press 1964
Dorndorf, W.: Verlauf und Prognose bei spontanen zerebralen Arterienverschlüssen. Heidelberg: Dr. Alfred Hüthig Verlag 1969
Fisher, C.M.: Anticoagulant therapy in cerebral thrombosis and cerebral embolism. A national cooperative study, interim report. Neurology (Minneap.) 11. (part 2), 119–131 (1961)
Fields, W.S., North, R.R., Hass, W.K., Galbraith, J.G., Wylie, E.J., Ratinow, G., Burns, M.H., MacDonald, M.C., Meyer, J.S.: Joint study of extracranial arterial occlusion as a cause of stroke. I. Organization of study and survey of patient population. J.A.M.A. 203, 955–960 (1968)
Gautier, J.C., Rosa, A., Lhermitte, F.: Accidents vasculaires cérébraux et contraceptifs oraux. Rev. neurol. 130, 217–236 (1974)
Glynn, A.A.: Vascular diseases of the nervous system. A series of 315 cases. Brit. med. J. 1, 1216–1219 (1956)
Hass, W.K., Fields, W.S., North, R.R., Kricheff, I.I., Chase, N.E., Bauer, R.B.: Joint study of extracranial arterial occlusion. II: Arteriography, techniques, sites and complications. J.A.M.A. 203, 961–968 (1968)
Heyden, S., Heyman, A., Goree, J.A.: Non embolic occlusion of the middle cerebral and carotid arteries — a comparison of predisposing factors. Stroke 1, 363–369 (1970)
Hossmann, V.: Der Hirninfarkt und seine Abhängigkeit von exogenen und endogenen Faktoren des Blutdrucks. Inaugural Dissertation, Universität Köln 1969
Inman, W.H.W., Vessey, M.P., Westerholm, B., Engelund, A.: Thromboembolic disease and the steroidal content of oral contraceptives. A report to the committee on safety of drugs. Brit. med. J. 2, 203 (1970)
Jörgensen, L., Torvik, A.: Ischemic cerebrovascular diseases in an autopsy series. Part I: Prevalence, location and pre-disposing factors in verified thrombo-embolic occlusions, and their significance in the pathogenesis of cerebral infarction. J. neurol. Sci. 3, 490–509 (1966)
Joint Committee for Stroke Facilities: V. Clinical prevention of stroke. Stroke 3, 803–825 (1972)
Kannel, W.B., Dawber, T.R., Cohen, M.E., McNamara, P.M.: Vascular disease of the brain-epidemiologic aspects: the Framingham-study. Amer. J. publ. Hlth 55, 1355–1366 (1965)
Krayenbühl, H., Yasargil, M.G.: Verschluss der A. cerebralis media: Ergebnisse der klinischen und katamnestischen Untersuchungen. Schweiz. Arch. Neurol. Psychiat. (Chicago) 94, 287–304 (1964)
Kurtzke, J.F.: Epidemiology of Cerebrovascular Disease. Berlin-Heidelberg New York: Springer-Verlag 1969
Lindgren, S.O.: Course and prognosis in spontaneous occlusions of cerebral arteries. Acta psychiat. scand. 33, 343–358 (1958)
Louis, S., McDowell, F.: Age: its significance in nonembolic cerebral infarction. Stroke 1, 339–453 (1970)
McDowell, F.H., Louis, S., Monahan, K.: Seasonal variation of non-embolic cerebral infarction. J. chron. Dis. 23, 29–32 (1970)
Meyer, J.S., Charney, J.Z., Rivera, V.M., Mathew, N.T.: Cerebral embolization: prospective clinical analysis of 42 cases. Stroke 2, 541–554 (1971)
Moossy, J.: Cerebral infarction and intracranial arterial thrombosis. Necropsy studies and clinical implications. Arch. Neurol. (Chicago) 14, 119–123 (1966)
Mullins, W.L.: Age, incidence and mortality in coronary occlusion: a review of 400 cases. Penn. med. J. 39, 322 (1936)
Veterans Administration Cooperative Study Group on Anti-Hypertensive Agents: Effects of treatment on morbidity in hypertension: Results in patients with diastolic blood pressures averaging 115 through 129 mmHg. J.A.M.A. 202, 1028–1034 (1967).
Veterans Administration Cooperative Study Group on Anti-Hypertensive Agents: Effects of treatment on morbidity in hypertension: II. Results in patients with diastolic blood pressures averaging 90 through 114 mmHg. J.A.M.A. 213, 1143–1152 (1970)
Wells, C.E.: Cerebral embolism. The natural history, prognostic signs, and effects of anticoagulation. Arch. Neurol. Psychiat. (Chicago) 81, 667–677 (1959)
Wylie, C.M.: Cerebrovascular accident deaths in the United States and in England and Wales. J. chron. Dis. 15, 85–90 (1962)
Yates, P.O., Hutchinson, E.C.: Cerebral infarction: The Role of Stenosis of the Extracranial Cerebral Arteries. Spec. Rep. Ser. med. Res. Counc. no. 300, London: Her Majesty’s Stationery Office 1961
Zülch, K.J.: Morphology and pathogenesis of cerebral infarction. In: Anales del XII Congreso Latinoamericano de Neurocirurgia. Symp. Internacional de Investigaciones Neurologicas Lima, 1967, pp. 255–265
Zülch, K.J.: Die Carotis-Insuffizienz. Folia angiol. (Milano) 21, 47–62 (1973)
Zülch, K.J., Hennemann, U.: Predilection of Regional Intracranial Macro- and Microembolism. To be published
Zülch, K.J., Hossmann, V.: Über die 24-Stunden-Rhythmik des menschlichen Blutdrucks. Dtsch. med. Wschr. 92, 567–572 (1967)
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1977 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Zülch, K.J., von Einsiedel-Lechtape, H. (1977). Thrombosis and Embolism as a Cause of Ischemic Cerebrovascular Disturbances. Analysis from a Serie of 1000 Patients. In: Agnoli, A., Fazio, C. (eds) Platelet Aggregation in the Pathogenesis of Cerebrovascular Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-66609-4_8
Download citation
DOI: https://doi.org/10.1007/978-3-642-66609-4_8
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-66611-7
Online ISBN: 978-3-642-66609-4
eBook Packages: Springer Book Archive