›› 2012, Vol. 7 ›› Issue (06): 498-503.

• 综述 • 上一篇    下一篇

颅内动脉粥样硬化的自然病程

徐子奇1,高坤2,徐晓彤2,马宁2,缪中荣2   

  1. 1 杭州浙江大学医学院第一附属医院神经内科2首都医科大学附属北京天坛医院脑血管病中心急诊介入科
  • 收稿日期:2011-11-30 修回日期:2011-10-30 出版日期:2012-06-20 发布日期:2012-06-20
  • 通讯作者: 缪中荣

Natural History of Intracranial Atherosclerosis

XU Zi-Qi , GAO Kun, XU Xiao-Tong, et al

  

  • Received:2011-11-30 Revised:2011-10-30 Online:2012-06-20 Published:2012-06-20

摘要: 动脉粥样硬化是全身性疾病,颅内动脉也是动脉粥样硬化的好发部位。在所有的缺血性卒中患者中,8%~10%是由于颅内动脉粥样硬化性狭窄所致。颅内动脉粥样硬化性狭窄是一个炎症反应过程,近来认为氧化型低密度脂蛋白在动脉粥样硬化过程中的作用最强。颅内动脉粥样硬化的好发部位包括颈动脉海绵窦虹吸段、大脑中动脉主干、椎动脉邻近融合部和基底动脉。颅内动脉粥样硬化在流行病学、自然病程、病理生理及药物治疗、介入治疗等方面均有显著进展。本文对颅内动脉粥样硬化的自然病程做一综述。

关键词: 动脉粥样硬化; 颅内; 流行病学; 自然病程; 预后

Abstract: Atherosclerosis is a systemic disease. Intracranial arteries are one of the most arteries which frequently involved by atherosclerosis. The 8%-10% patients with ischemic stroke is due to intracranial atherosclerosis. Intracranial atherosclerotic stenosis is also regarded as inflammatory process. Many studies have found that the oxidized low density lipoprotein(LDL-C) plays a key role in the process of atherosclerosis. The most frequently sites involved by atherosclerosis including the carotid-cavernous siphon, middle cerebral artery, intracranial vertebral artery and basilar artery. Recently, studies on intracranial atherosclerosis have obtained significantly progress in the field of epidemiology, natural history, pathophysiology and drug therapy, interventional therapy. In this review, we want to summarize the natural history of patient with the intracranial atherosclerosis.

Key words: Atherosclerosis; intracranial; Epidemiology; Natural history; Prognosis