Dopplerographic features of venous cerebral blood flow disorders in acute period of ischemic stroke
https://doi.org/10.33667/2078-5631-2022-1-22-28
Abstract
The article analyzes results of a Doppler study of brachiocephalic vessels in the acute period of ischemic stroke. The role of the venous link of blood flow in maintaining the intracerebral constant in the acute period of ischemic stroke was revealed. The features of the reactivity of cerebral venous hemodynamics in patients with different volumes of brain damage during the formation of ischemic foci of various localization are shown. Attention is paid to the importance of a comprehensive assessment of cerebral venous circulation in the acute period of ischemic stroke. It was shown that in patients with ischemic stroke involving one or two lobes of one hemisphere of the brain, there was a significant increase in the size of the areas and a significant decrease in the speed indicators in the internal jugular and vertebral veins, respectively, the localization of the ischemic focus. It was found that in hemispheric ischemic strokes with signs of cerebral edema, cerebral blood flow disturbances were maximal and were accompanied by a paradoxical reaction of hemodynamic compensatory mechanisms, but no lateralization of dysgemia was observed according to the focus of ischemia.
About the Authors
V. Yu. Lobzin
North-Western State Medical University n. a. I. I. Mechnikov; Children's Research and Clinical Centre for Infectious Diseases; Military Medical Academy n. a. S. M. Kirov
Russian Federation
Russian Federation
Lobzin Vladimir Yu., DM Sci (habil.), professor, professor at Dept of Neurology n. a. acad. S. N. Davidenkov; senior researcher at Dept of Neuroinfections and Organic Pathology of Nervous System; professor at Dept of Nervous Diseases
Saint Petersburg
L. G. Nikiforova
North-Western State Medical University n. a. I. I. Mechnikov; Saint-Petersburg Research Institute for Emergency Medicine n. a. I. I. Dzhanelidze
Russian Federation
Russian Federation
Nikiforova Lubov G., neurologist; clinical neurophysiologist
Saint Petersburg,
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Review
For citations:
Lobzin V.Yu., Nikiforova L.G. Dopplerographic features of venous cerebral blood flow disorders in acute period of ischemic stroke. Medical alphabet. 2022;(1):22-28. (In Russ.) https://doi.org/10.33667/2078-5631-2022-1-22-28
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