Neurovascular Emergencies in the Elderly

被引:3
作者
Weigele, John B. [1 ]
Hurst, Robert W. [1 ]
机构
[1] Hosp Univ Penn, Dept Radiol, Philadelphia, PA 19104 USA
关键词
Elderly; Geriatric; Neurovascular; Emergencies; Stroke; Hemorrhage;
D O I
10.1016/j.rcl.2008.04.006
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Neurovascular diseases are major causes of disability and death in the elderly; many present as medical emergencies. With the continuing growth of the geriatric population, there has been increasing interest in the impact of aging on the cerebrovascular system. Recent advances in the clinical neurosciences have demonstrated that neurovascular emergencies in the elderly often are amenable to treatment; neuroimaging plays a critical role in diagnosis and neurointerventional techniques are becoming increasingly important therapeutic options. This article provides an overview of some of the common neurovascular disorders in the elderly that require urgent evaluation and treatment, with an emphasis on the expanding role for interventional neuroradiology in their management.
引用
收藏
页码:819 / +
页数:19
相关论文
共 77 条
  • [1] Guidelines for the early management of adults with ischemic stroke - A guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the atherosclerotic peripheral vascular disease and quality of care outcomes in research interdisciplinary working groups
    Adams, Harold P., Jr.
    del Zoppo, Gregory
    Alberts, Mark J.
    Bhatt, Deepak L.
    Brass, Lawrence
    Furlan, Anthony
    Grubb, Robert L.
    Higashida, Randall T.
    Jauch, Edward C.
    Kidwell, Chelsea
    Lyden, Patrick D.
    Morgenstern, Lewis B.
    Qureshi, Adnan I.
    Rosenwasser, Robert H.
    Scott, Phillip A.
    Wijdicks, Eelco F. M.
    [J]. STROKE, 2007, 38 (05) : 1655 - 1711
  • [2] Magnetic resonance imaging profiles predict clinical response to early reperfusion: The diffusion and perfusion imaging evaluation for understanding stroke evolution (DEFUSE) study
    Albers, Gregory W.
    Thijs, Vincent N.
    Wechsle, Lawrence
    Kemp, Stephanie
    Schlaug, Gottfried
    Skalabrin, Elaine
    Bammer, Roland
    Kakuda, Wataru
    Lansberg, Maarten G.
    Shuaib, Ashfaq
    Coplin, William
    Hamilton, Scott
    Moseley, Michael
    Marks, Michael P.
    [J]. ANNALS OF NEUROLOGY, 2006, 60 (05) : 508 - 517
  • [3] [Anonymous], 2007, HLTH US 2007 CHARTB
  • [4] Subarachnoid hemorrhage diagnosis by computed tomography and lumbar puncture: Are fifth generation CT scanners better at identifying subarachnoid hemorrhage?
    Boesiger, BM
    Shiber, JR
    [J]. JOURNAL OF EMERGENCY MEDICINE, 2005, 29 (01) : 23 - 27
  • [5] Treatment and outcome of aneurysmal subarachnoid haemorrhage in the elderly patient
    Braun, V
    Rath, S
    Antoniadis, G
    Richter, HP
    Börm, W
    [J]. NEURORADIOLOGY, 2005, 47 (03) : 215 - 221
  • [6] Frequency of intracranial hemorrhage as a presenting symptom and subtype analysis: A population-based study of intracranial vascular malformations in Olmsted County, Minnesota
    Brown, RD
    Wiebers, DO
    Torner, JC
    OFallon, WM
    [J]. JOURNAL OF NEUROSURGERY, 1996, 85 (01) : 29 - 32
  • [7] Endovascular treatment of intracranial aneurysms in the elderly: Single-center experience in 63 consecutive patients
    Cai, YL
    Spelle, L
    Wang, H
    Piotin, M
    Mounayer, C
    Vanzin, JR
    Moret, J
    [J]. NEUROSURGERY, 2005, 57 (06) : 1096 - 1102
  • [8] Causes and predictors of death in cerebral venous thrombosis
    Canhao, PC
    Ferro, JM
    Lindgren, AG
    Bousser, MG
    Stam, J
    Barinagarrementeria, F
    [J]. STROKE, 2005, 36 (08) : 1720 - 1725
  • [9] Cerebral amyloid angiopathy: CT and MR imaging findings
    Chao, Christine P.
    Kotsenas, Amy L.
    Broderick, Daniel F.
    [J]. RADIOGRAPHICS, 2006, 26 (05) : 1517 - 1531
  • [10] Aging and cerebrovascular disease
    Choi, JY
    Morris, JC
    Hsu, CY
    [J]. NEUROLOGIC CLINICS, 1998, 16 (03) : 687 - +