Praxis Medica
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More articles from Volume 42, Issue 3, 2013

Nivo mutans streptokoka u pljuvački u odnosu na oralnu higijenu dece sa karijesom ranog detinjstva i bez karijesa

Karotidna ateroskleroza u predikciji infarkta subkortikalne lokalizacije

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Karotidna ateroskleroza u predikciji infarkta subkortikalne lokalizacije

V. Mitrović ,
V. Mitrović
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B. Biševac
B. Biševac
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Published: 15.01.2014.

Volume 42, Issue 3 (2013)

pp. 11-14;

Abstract

Cilj ovog rada bio je da utvrdi udruženost ekstrakranijalne karotidne ateroskleroze u odnosu na stranu infarkta mozga subkortikalne lokalizacije. Rad je prospektivna studija i sproveden je na grupi od 40 bolesnika. Kriterijumi za uključivanje u istraživanje je bila dijagnoza cerebrovaskularnog inzulta postavljena na osnovu kliničkog i neurološkog pregleda, te jasno potvrđena kompjuterizovanom tomografijom (CT) postojanjem infarkta mozga u subkortikalnom delu leve ili desne velikomoždane hemisfere. Podaci o ekstrakranijalnoj aterosklerotskoj karotidnoj bolesti dobijani su ultrasonografskim pregledom. Najvažniji element ultrazvučnog pregleda karotidnih arterija bio je stepenovanje stenoza i procena zadebljanja kompleksa intime i medije (IMT). Identifikovani su faktori rizika značajni za nastanak i razvoj ateroskleroze, a tome i razvoj ishemijske bolesti mozga. Na osnovu analize dobijenih rezultata infarkti mozga subkortikalne lokalizacije su češći na strani karotidne ateroskleroze bilo u formi ateromatoze unutrašnje karotidne arterije ili intimo medijalnog zadebljanja zajedničke karotidne arterije, posebno kada su udruženi sa dominantnim faktorima rizika za aterogenezu.

Keywords

karotidna ateroskleroza,

infarkt mozga

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