Skip to main content
British Medical Journal logoLink to British Medical Journal
. 1968 Sep 28;3(5621):769–774. doi: 10.1136/bmj.3.5621.769

Cerebrovascular Diseases in West Central India

P M Dalal, P M Shah, R R Aiyar, B J Kikani
PMCID: PMC1989564  PMID: 5676713

Abstract

Cerebral angiographic findings in ischaemic stroke are described and discussed in detail. Though the Indian patients studied had altogether different social customs, living standards, and dietary habits from Western people, the relative incidence of various cerebral vascular lesions did not differ significantly. Irrespective of the poor nutritional status of the patients, thrombosis associated with atherosclerosis was chiefly responsible for a non-embolic cerebral infarction. Atherothrombosis in the young normotensive persons not showing any evidence of arteritis, diabetes mellitus, or hypercholesterolaemia was also identified.

The grave risks involved in cerebral angiography in cases of acute stroke are re-emphasized.

As to prognosis, the nutritional status, the type and territory of an ictal lesion, and the blood levels of sugar and cholesterol had no significant influence on the immediate survival-after a non-embolic cerebral infarction. However, a significantly greater number of deaths were encountered in the hypertensive patients. Female patients and patients with a large cerebral infarction had a poor prognosis.

Full text

PDF
769

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BLAISDELL F. W., GAUDER P. J., HALL A. D. Panarteriography in cerebrovascular insufficiency. Arch Surg. 1962 Jul;85:41–48. doi: 10.1001/archsurg.1962.01310010045006. [DOI] [PubMed] [Google Scholar]
  2. BULL J. W., MARSHALL J., SHAW D. A. Cerebral angiography in the diagnosis of the acute stroke. Lancet. 1960 Mar 12;1(7124):562–565. doi: 10.1016/s0140-6736(60)92774-4. [DOI] [PubMed] [Google Scholar]
  3. CARTER A. B. The immediate treatment of cerebral embolism. Q J Med. 1957 Jul;26(103):335–348. [PubMed] [Google Scholar]
  4. CHASE N., HASS W. K., RANSOHOFF J. MODIFIED METHOD FOR PERCUTANEOUS BRACHIAL ANGIOGRAPHY. Arch Neurol. 1963 Jun;9:632–639. doi: 10.1001/archneur.1963.00460060062006. [DOI] [PubMed] [Google Scholar]
  5. DALAL P. M., SHAH P. M., AIYAR R. R. ARTERIOGRAPHIC STUDY OF CEREBRAL EMBOLISM. Lancet. 1965 Aug 21;2(7408):358–361. doi: 10.1016/s0140-6736(65)90339-9. [DOI] [PubMed] [Google Scholar]
  6. DALAL P. M., SHAH P. M., SHETH S. C., DESHPANDE C. K. CEREBRAL EMBOLISM. ANGIOGRAPHIC OBSERVATIONS ON SPONTANEOUS CLOT LYSIS. Lancet. 1965 Jan 9;1(7376):61–64. doi: 10.1016/s0140-6736(65)91651-x. [DOI] [PubMed] [Google Scholar]
  7. EIKEN M. THE ANGIOGRAPHIC EXAMINATION OF PATIENTS WITH ACUTE CEREBROVASCULAR ACCIDENTS. Dan Med Bull. 1963 Aug;10:168–171. [PubMed] [Google Scholar]
  8. LINDNER D. W., HARDY W. G., THOMAS L. M., GURDJIAN E. S. Angiographic complications in patients with cerebrovascular disease. J Neurosurg. 1962 Mar;19:179–185. doi: 10.3171/jns.1962.19.3.0179. [DOI] [PubMed] [Google Scholar]
  9. MARSHALL J., KAESER A. C. Survival after non-haemorrhagic cerebrovascular accidents. A prospective study. Br Med J. 1961 Jul 8;2(5244):73–77. doi: 10.1136/bmj.2.5244.73. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. MARTIN M. J., WHISNANT J. P., SAYRE G. P. Occlusive vascular disease in the extracranial cerebral circulation. Arch Neurol. 1960 Nov;3:530–538. doi: 10.1001/archneur.1960.00450050050006. [DOI] [PubMed] [Google Scholar]
  11. MASI A. T. POTENTIAL USES AND LIMITATIONS OF HOSPITAL DATA IN EPIDEMIOLOGIC RESEARCH. Am J Public Health Nations Health. 1965 May;55:658–667. doi: 10.2105/ajph.55.5.658. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. PRIBRAM H. F. COMPLICATIONS OF ANGIOGRAPHY IN CEREBROVASCULAR DISEASE. Radiology. 1965 Jul;85:33–37. doi: 10.1148/85.1.33. [DOI] [PubMed] [Google Scholar]
  13. SCHWARTZ C. J., MITCHELL J. R. Atheroma of the carotid and vertebral arterial systems. Br Med J. 1961 Oct 21;2(5259):1057–1063. doi: 10.1136/bmj.2.5259.1057. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. SILVERSTEIN A. ARTERIOGRAPHY OF STROKE. I. INCIDENCE OF MASS LESIONS IN PATIENTS WITH CLINICAL DIAGNOSIS OF OCCLUSIVE CEREBROVASCULAR DISEASE. Arch Neurol. 1965 Apr;12:387–389. doi: 10.1001/archneur.1965.00460280057004. [DOI] [PubMed] [Google Scholar]
  15. Silverstein A. Arteriography of stroke. 3. Complications. Arch Neurol. 1966 Aug;15(2):206–contd. doi: 10.1001/archneur.1966.00470140096013. [DOI] [PubMed] [Google Scholar]
  16. Silverstein A. Arteriography of stroke. II. Factors relating to the normal angiogram. Arch Neurol. 1965 Oct;13(4):441–446. doi: 10.1001/archneur.1965.00470040107017. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES