ĐẶC ĐIỂM LÂM SÀNG VÀ HÌNH ẢNH HỌC ĐỘT QUỴ THIẾU MÁU NÃO DO HẸP MẠCH NỘI SỌ

Abstract

Target: Describe clinical and paraclinical characteristics of patients with intracranial atherosclerosis. Analysis of the mechanism of cerebral stroke in the setting of intracranial stenosis. Methods:  a cross-sectional descriptive study, analysis of 135 patients with ischemic stroke due to intracranial atherosclerotic stenosis at Bach Mai hospital in 2022-2023. Results: Characteristics of patients with ischemic stroke due to intracranial atherosclerosis: advanced age (64.9 ± 12.6); The proportion of men is higher than that of women (% men: 65.9%); Hypertension is the leading risk factor for the disease (62.2%); Mainly anterior cerebral circulation intracranial atherosclerosis (85.9%); The common mechanism of stroke is thrombosis at the site of stenosis or arterio-arterial thrombosis (65.2%); There was no difference in ischemic stroke recurrence and neurological function outcomes at 3 months between the group of patients with moderate versus severe intracranial atherosclerosis. Conclusion: Intracranial atherosclerosis is more common in the anterior cerebral circulation, and the artery-to-artery mechanism is the most common.