The autonomic nervous system and ischemic stroke: a reciprocal interdependence

被引:0
作者
Giuseppe Micieli
Anna Cavallini
机构
[1] IRCCS Istituto Clinico Humanitas,Neurology and Stroke Unit
[2] IRCCS Istituto Neurologico C. Mondino,Stroke Unit
来源
Clinical Autonomic Research | 2008年 / 18卷
关键词
autonomic nervous system; stroke; atherosclerosis; circadian rhythms; cardiovascular dysfunction;
D O I
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学科分类号
摘要
Signs and symptoms of autonomic nervous system (ANS) dysfunction are frequently reported after ischemic or haemorrhagic stroke and in many cases they exhibit peculiar patterns in relationship with the site and the extension of brain lesion. However if an ANS disorder can cause or predispose to a stroke is far from being correctly known. Evidences in favor of a pathogenetic mechanism of an ANS dysfunction are reported for myocardial infarction and such data are likely to be appropriate also for atherothrombotic type of ischemic stroke. On the other hand, it is well known that many risk factors for this pathology are strongly correlated with an altered functioning of ANS so that a reciprocal interdependence between ANS and stroke can be hypothesized. This review points to evidence the possible relationship existing between these two conditions and suggests a quite different diagnostic and therapeutic approach to both on the basis of their pathogenetic mechanisms.
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页码:308 / 317
页数:9
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