Open AccessCEREBRO‐SPINAL INFARCTION CAUSED BY ATHEROMATOUS EMBOLI
Author(s) -
Yutani Chikao,
IMAKITA Masami,
ISHIBASHIUEDA Hatsue,
Hatanaka Kaoru,
Waki Riichiro,
Ogawa Makoto,
Sawada Toru,
Yamaguchi Takenori
Publication year - 1985
Publication title -
acta patholigica japonica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.73
H-Index - 74
ISSN - 0001-6632
DOI - 10.1111/j.1440-1827.1985.tb00621.x
Subject(s) - cerebro , medicine , pathology , infarction , brain infarction , myocardial infarction , radiology , cardiology , ischemia
Cholesterol embolization to the abdominal viscera is common, but rare in the central nervous system. Fourteen cases of atheromatous embolization to the central nervous system were morphologically investigated. Among the 800 consecutive autopsy cases, 38 cases had atheromatous emboli in various organs. Cerebro‐spinal infarction caused by atheromatous emboli was found in 11 cases. Infarction rate (11/14) was relatively higher than in other organs and 5 of these cases were thought to be due to direct injury to the erosive surface of the aorta; cardiac catheterization (2 cases), intra‐aortic baloon pumping (2 cases), and extra‐anatomical bypass graft operation (1 case). These 14 patients consisted of elderly patients (70.1 ±6.3 years old) usually associated with hypertension (78.6%) and diabetes mellitus (42.8%). Anatomically, aortic aneurysms were seen in 10 cases (71.4%), in which aortic arch aneurysm was seen in 6 cases. Hence, aortic mechanical procedure is of great importance for denuding atheromatous materials from erosive atherosclerosis to the central nervous system. ACTA PATHOL. JPN. 35 : 789–801, 1985.