Calcification of the intracranial carotid artery and its relation to the clinical and angiographic picture: an angiographic classification of asteriosclerosis cerebri

Detalhes bibliográficos
Autor(a) principal: Seixas,Valter
Data de Publicação: 1968
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de neuro-psiquiatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1968000100001
Resumo: Fifty six patients with arteriosclerosis cerebri confirmed by X-rays examinations were clinically and angiographically studied. Calcifications of the carotid artery were found predominantly in human beings between the ages of 55 and 65 and more often among men than among women, the proportion being 2.5 to 1. Nearly all arteriosclerotic patients with calcium deposits in the carotid artery showed several neurological and mental deficits, the most frequent initial symptoms being motor disturbances. Angiographic anormalities found in these patients can be classed into 3 groups: (a) grade I— wavy course of the cerebral vessels, small number of peripheral brain vessels, formation of small knots, prolonged circulation time, arteria cerebri anterior with angular form, straight course and broad caliber; (b) grade II— partial block, irregularities of wall and caliber, aneurysmal formations; (c) grade III— total block of some vessels of the carotid system preventing a generalized or localized cerebral blood supply. Grades II and III angiographic abnormalities were most often seen at the syphon and at the carotid bifurcation in the neck (site of predilection). Most patients with a progressive clinical course belonged to the I group. The course of the disease did not differ in patients with grades II and III angiographic changes since usually the illness had an apoplectiform onset. Arteriosclerotic degenerative irregularities within the layers of the arteries (up to atheromatous patches) may occur without reducing the arterial lumen. In such cases the patients may remain asymptomatic until there is a decompensation in the brain circulation due to many causes.
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spelling Calcification of the intracranial carotid artery and its relation to the clinical and angiographic picture: an angiographic classification of asteriosclerosis cerebriFifty six patients with arteriosclerosis cerebri confirmed by X-rays examinations were clinically and angiographically studied. Calcifications of the carotid artery were found predominantly in human beings between the ages of 55 and 65 and more often among men than among women, the proportion being 2.5 to 1. Nearly all arteriosclerotic patients with calcium deposits in the carotid artery showed several neurological and mental deficits, the most frequent initial symptoms being motor disturbances. Angiographic anormalities found in these patients can be classed into 3 groups: (a) grade I— wavy course of the cerebral vessels, small number of peripheral brain vessels, formation of small knots, prolonged circulation time, arteria cerebri anterior with angular form, straight course and broad caliber; (b) grade II— partial block, irregularities of wall and caliber, aneurysmal formations; (c) grade III— total block of some vessels of the carotid system preventing a generalized or localized cerebral blood supply. Grades II and III angiographic abnormalities were most often seen at the syphon and at the carotid bifurcation in the neck (site of predilection). Most patients with a progressive clinical course belonged to the I group. The course of the disease did not differ in patients with grades II and III angiographic changes since usually the illness had an apoplectiform onset. Arteriosclerotic degenerative irregularities within the layers of the arteries (up to atheromatous patches) may occur without reducing the arterial lumen. In such cases the patients may remain asymptomatic until there is a decompensation in the brain circulation due to many causes.Academia Brasileira de Neurologia - ABNEURO1968-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1968000100001Arquivos de Neuro-Psiquiatria v.26 n.1 1968reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X1968000100001info:eu-repo/semantics/openAccessSeixas,Valtereng2013-05-14T00:00:00Zoai:scielo:S0004-282X1968000100001Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2013-05-14T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse
dc.title.none.fl_str_mv Calcification of the intracranial carotid artery and its relation to the clinical and angiographic picture: an angiographic classification of asteriosclerosis cerebri
title Calcification of the intracranial carotid artery and its relation to the clinical and angiographic picture: an angiographic classification of asteriosclerosis cerebri
spellingShingle Calcification of the intracranial carotid artery and its relation to the clinical and angiographic picture: an angiographic classification of asteriosclerosis cerebri
Seixas,Valter
title_short Calcification of the intracranial carotid artery and its relation to the clinical and angiographic picture: an angiographic classification of asteriosclerosis cerebri
title_full Calcification of the intracranial carotid artery and its relation to the clinical and angiographic picture: an angiographic classification of asteriosclerosis cerebri
title_fullStr Calcification of the intracranial carotid artery and its relation to the clinical and angiographic picture: an angiographic classification of asteriosclerosis cerebri
title_full_unstemmed Calcification of the intracranial carotid artery and its relation to the clinical and angiographic picture: an angiographic classification of asteriosclerosis cerebri
title_sort Calcification of the intracranial carotid artery and its relation to the clinical and angiographic picture: an angiographic classification of asteriosclerosis cerebri
author Seixas,Valter
author_facet Seixas,Valter
author_role author
dc.contributor.author.fl_str_mv Seixas,Valter
description Fifty six patients with arteriosclerosis cerebri confirmed by X-rays examinations were clinically and angiographically studied. Calcifications of the carotid artery were found predominantly in human beings between the ages of 55 and 65 and more often among men than among women, the proportion being 2.5 to 1. Nearly all arteriosclerotic patients with calcium deposits in the carotid artery showed several neurological and mental deficits, the most frequent initial symptoms being motor disturbances. Angiographic anormalities found in these patients can be classed into 3 groups: (a) grade I— wavy course of the cerebral vessels, small number of peripheral brain vessels, formation of small knots, prolonged circulation time, arteria cerebri anterior with angular form, straight course and broad caliber; (b) grade II— partial block, irregularities of wall and caliber, aneurysmal formations; (c) grade III— total block of some vessels of the carotid system preventing a generalized or localized cerebral blood supply. Grades II and III angiographic abnormalities were most often seen at the syphon and at the carotid bifurcation in the neck (site of predilection). Most patients with a progressive clinical course belonged to the I group. The course of the disease did not differ in patients with grades II and III angiographic changes since usually the illness had an apoplectiform onset. Arteriosclerotic degenerative irregularities within the layers of the arteries (up to atheromatous patches) may occur without reducing the arterial lumen. In such cases the patients may remain asymptomatic until there is a decompensation in the brain circulation due to many causes.
publishDate 1968
dc.date.none.fl_str_mv 1968-03-01
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1968000100001
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dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv Arquivos de Neuro-Psiquiatria v.26 n.1 1968
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repository.name.fl_str_mv Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia
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