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Cerebral ischemia

MedGen UID:
182975
Concept ID:
C0917798
Pathologic Function
Synonym: Brain ischemia
SNOMED CT: Cerebral ischemia (287731003)
 
HPO: HP:0002637
Monarch Initiative: MONDO:0005299

Definition

Restriction of arterial blood supply to the brain associated with insufficient oxygenation to support the metabolic requirements of the tissue. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVCerebral ischemia

Conditions with this feature

Acquired polycythemia vera
MedGen UID:
45996
Concept ID:
C0032463
Neoplastic Process
Polycythemia vera (PV), the most common form of primary polycythemia, is caused by somatic mutation in a single hematopoietic stem cell leading to clonal hematopoiesis. PV is a myeloproliferative disorder characterized predominantly by erythroid hyperplasia, but also by myeloid leukocytosis, thrombocytosis, and splenomegaly. Familial cases of PV are very rare and usually manifest in elderly patients (Cario, 2005). PV is distinct from the familial erythrocytoses (see, e.g., ECYT1, 133100), which are caused by inherited mutations resulting in hypersensitivity of erythroid progenitors to hormonal influences or increased levels of circulating hormones, namely erythropoietin (EPO; 133170) (Prchal, 2005).
Schimke immuno-osseous dysplasia
MedGen UID:
164078
Concept ID:
C0877024
Congenital Abnormality
Schimke immunoosseous dysplasia (SIOD) is characterized by spondyloepiphyseal dysplasia (SED) resulting in short stature, nephropathy, and T-cell deficiency. Radiographic manifestations of SED include ovoid and mildly flattened vertebral bodies, small ilia with shallow dysplastic acetabular fossae, and small deformed capital femoral epiphyses. Nearly all affected individuals have progressive steroid-resistant nephropathy, usually developing within five years of the diagnosis of growth failure and terminating with end-stage renal disease. The majority of tested individuals have T-cell deficiency and an associated risk for opportunistic infection, a common cause of death. SIOD involves a spectrum that ranges from an infantile or severe early-onset form with a greater risk of death during childhood to a juvenile or milder later-onset form with likely survival into adulthood if renal disease is appropriately treated.
Internal carotid arteries, hypoplasia of
MedGen UID:
383757
Concept ID:
C1855736
Finding
Cerebral amyloid angiopathy, APP-related
MedGen UID:
414044
Concept ID:
C2751536
Disease or Syndrome
Cerebral amyloid angiopathy, or cerebroarterial amyloidosis, refers to a pathologic process in which amyloid protein progressively deposits in cerebral blood vessel walls with subsequent degenerative vascular changes that usually result in spontaneous cerebral hemorrhage, ischemic lesions, and progressive dementia. APP-related CAA is the most common form of CAA (Revesz et al., 2003, 2009).

Professional guidelines

PubMed

Thilak S, Brown P, Whitehouse T, Gautam N, Lawrence E, Ahmed Z, Veenith T
Nat Commun 2024 Feb 29;15(1):1850. doi: 10.1038/s41467-024-46015-2. PMID: 38424037Free PMC Article
Marco-Contelles J
J Med Chem 2020 Nov 25;63(22):13413-13427. Epub 2020 Sep 18 doi: 10.1021/acs.jmedchem.0c00976. PMID: 32869989
Alotaibi NM, Wang JZ, Pasarikovski CR, Guha D, Al-Mufti F, Mamdani M, Saposnik G, Schweizer TA, Macdonald RL
Neurosurg Focus 2017 Nov;43(5):E13. doi: 10.3171/2017.7.FOCUS17426. PMID: 29088956

Recent clinical studies

Etiology

Shah VA, Gonzalez LF, Suarez JI
Neurocrit Care 2023 Aug;39(1):36-50. Epub 2023 May 25 doi: 10.1007/s12028-023-01747-9. PMID: 37231236
Monsour M, Croci DM, Agazzi S
Clin Neurol Neurosurg 2022 Aug;219:107330. Epub 2022 Jun 9 doi: 10.1016/j.clineuro.2022.107330. PMID: 35700661
Neifert SN, Chapman EK, Martini ML, Shuman WH, Schupper AJ, Oermann EK, Mocco J, Macdonald RL
Transl Stroke Res 2021 Jun;12(3):428-446. Epub 2020 Oct 19 doi: 10.1007/s12975-020-00867-0. PMID: 33078345
Hermann DM, Kleinschnitz C
Stroke 2019 May;50(5):1310-1317. doi: 10.1161/STROKEAHA.118.024673. PMID: 30896361
Wessels L, Hecht N, Vajkoczy P
Neurosurg Rev 2019 Jun;42(2):389-393. Epub 2018 Mar 13 doi: 10.1007/s10143-018-0966-9. PMID: 29536207

Diagnosis

Spears WE, Greer DM, Nguyen TN
Stroke 2023 Oct;54(10):2708-2712. Epub 2023 Aug 15 doi: 10.1161/STROKEAHA.123.043541. PMID: 37581267
Tapeinos C, Battaglini M, Marino A, Ciofani G
J Mater Chem B 2020 Aug 7;8(29):6233-6251. Epub 2020 Mar 4 doi: 10.1039/d0tb00260g. PMID: 32129417
Rabinstein AA, Lanzino G
Neurosurg Clin N Am 2018 Apr;29(2):255-262. doi: 10.1016/j.nec.2018.01.001. PMID: 29502715
Etminan N, Macdonald RL
Handb Clin Neurol 2017;140:195-228. doi: 10.1016/B978-0-444-63600-3.00012-X. PMID: 28187800
Raya AK, Diringer MN
Crit Care Clin 2014 Oct;30(4):719-33. Epub 2014 Jul 29 doi: 10.1016/j.ccc.2014.06.004. PMID: 25257737

Therapy

Apostolakis S, Stavrinou P
CNS Neurol Disord Drug Targets 2024;23(11):1308-1319. doi: 10.2174/0118715273251761231127095039. PMID: 38243987
Mohamud Yusuf A, Hagemann N, Ludewig P, Gunzer M, Hermann DM
Front Immunol 2021;12:825572. Epub 2022 Jan 11 doi: 10.3389/fimmu.2021.825572. PMID: 35087539Free PMC Article
Scully M, Cataland SR, Peyvandi F, Coppo P, Knöbl P, Kremer Hovinga JA, Metjian A, de la Rubia J, Pavenski K, Callewaert F, Biswas D, De Winter H, Zeldin RK; HERCULES Investigators
N Engl J Med 2019 Jan 24;380(4):335-346. Epub 2019 Jan 9 doi: 10.1056/NEJMoa1806311. PMID: 30625070
Hickenbottom SL, Grotta J
Semin Neurol 1998;18(4):485-92. doi: 10.1055/s-2008-1040901. PMID: 9932619
Fieschi C, Cavalletti C, Toni D, Fiorelli M, Sacchetti ML, De Michele M, Gori MC, Montinaro E, Argentino C
Acta Neurochir Suppl 1996;66:76-80. doi: 10.1007/978-3-7091-9465-2_14. PMID: 8780802

Prognosis

Park YJ, Borlongan CV
J Cereb Blood Flow Metab 2021 Oct;41(10):2797-2799. Epub 2021 Jun 29 doi: 10.1177/0271678X211026507. PMID: 34187231Free PMC Article
Aagaard P, Briceno D, Csanadi Z, Mohanty S, Gianni C, Trivedi C, Nagy-Baló E, Danik S, Barrett C, Santoro F, Burkhardt JD, Sanchez J, Natale A, Di Biase L
Cardiol Clin 2016 May;34(2):307-16. doi: 10.1016/j.ccl.2015.12.012. PMID: 27150179
Fukudome EY, Alam HB
Crit Care Med 2009 Jul;37(7 Suppl):S265-72. doi: 10.1097/CCM.0b013e3181aa60ac. PMID: 19535957
Bhardwaj A, Alkayed NJ, Kirsch JR, Hurn PD
Curr Cardiol Rep 2003 Mar;5(2):160-7. doi: 10.1007/s11886-003-0085-1. PMID: 12583862
Stapf C, Mohr JP
Annu Rev Med 2002;53:453-75. doi: 10.1146/annurev.med.53.082901.104106. PMID: 11818485

Clinical prediction guides

Fontana V, Bond O, Spadaro S, Annoni F, Nobile L, Badenes R, Volta CA, Vincent JL, Creteur J, Taccone FS
J Neurosurg Anesthesiol 2018 Oct;30(4):319-327. doi: 10.1097/ANA.0000000000000459. PMID: 28991058
Oda S, Shimoda M, Hirayama A, Imai M, Komatsu F, Shigematsu H, Nishiyama J, Hotta K, Matsumae M
J Neurosurg 2018 Feb;128(2):499-505. Epub 2017 Feb 10 doi: 10.3171/2016.10.JNS161964. PMID: 28186448
Christ M, von Auenmueller KI, Noelke JP, Sasko B, Amirie S, Trappe HJ
Intern Emerg Med 2016 Mar;11(2):237-43. Epub 2015 Nov 23 doi: 10.1007/s11739-015-1353-y. PMID: 26597877
Schmidt JM, Claassen J
Neurocrit Care 2011 Apr;14(2):149-51. doi: 10.1007/s12028-011-9519-6. PMID: 21360233
Fazekas F, Niederkorn K, Ebner F, Díez-Tejedor E
Cerebrovasc Dis 2009;27 Suppl 1:1-8. Epub 2009 Apr 3 doi: 10.1159/000200436. PMID: 19342828

Recent systematic reviews

Spears WE, Greer DM, Nguyen TN
Stroke 2023 Oct;54(10):2708-2712. Epub 2023 Aug 15 doi: 10.1161/STROKEAHA.123.043541. PMID: 37581267
Feng Y, Chen H
Am J Emerg Med 2021 Dec;50:748-752. Epub 2021 Sep 22 doi: 10.1016/j.ajem.2021.09.047. PMID: 34879498
Vidale S
Neurol Sci 2020 Dec;41(Suppl 2):395-399. doi: 10.1007/s10072-020-04651-8. PMID: 32852688
Wessels L, Hecht N, Vajkoczy P
Neurosurg Rev 2019 Jun;42(2):389-393. Epub 2018 Mar 13 doi: 10.1007/s10143-018-0966-9. PMID: 29536207
Moussaddy A, Demchuk AM, Hill MD
Neuropharmacology 2018 May 15;134(Pt B):272-279. Epub 2018 Mar 3 doi: 10.1016/j.neuropharm.2017.11.010. PMID: 29505787

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