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Causes of cerebrovascular stenosis How is cerebrovascular stenosis caused?

Some patients often hear doctors say that their cerebral vessels are getting thinner. How is this? The causes of cerebral vascular thinning are many and complicated, including both systemic and intracranial local diseases.

1. Congenital stenosis of cerebral vessels: Congenital stenosis of cerebral vessels is more common in children, with no obvious cause, and it is an abnormal disease of congenital development of cerebral vessels. Most of these patients have no obvious symptoms in clinic, and they are often found accidentally during cerebral angiography.

2.

Cerebral vasospasm: Cerebral vasospasm refers to the abnormal contraction of cerebral arteries in a period of time. The common cause of acute cerebral vasospasm is subarachnoid hemorrhage, and the most common cause of spontaneous subarachnoid hemorrhage is the rupture of intracranial aneurysm.

Therefore, patients with subarachnoid hemorrhage should be diagnosed by cerebral angiography as soon as possible if the condition permits. In addition, iatrogenic cerebral vasospasm can not be ignored, which mostly occurs in neurosurgery and intravascular interventional therapy. Most clinical cerebral vasospasm is a chronic disease course, and emotional fluctuation, anger and excitement, psychological disorder, and great tension and pressure are common reasons.

3. narrowing of cerebral arteriosclerotic stenosis: atherosclerosis of cerebral arteries mainly occurs in the large and middle arteries supplying the brain, and the most prone parts of stenosis are the bifurcation of the common carotid artery, the entrance of vertebral artery into the cranial cavity, and the beginning and bifurcation of basilar artery.

4.

Others: Various arterial inflammations, such as infectious arteritis (tuberculous, parasitic, septic, etc.), collagenous arteritis (such as a disease called systemic lupus erythematosus) and vasculitis obliterans, can also cause narrowing and thinning of cerebral vessels.

To sum up, there are many causes of cerebral vascular thinning, which must be further examined. ?

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