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Journal Information
Vol. 35. Issue 4.
Pages 185-194 (October - December 2018)
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27887
Vol. 35. Issue 4.
Pages 185-194 (October - December 2018)
Revisión
Enfermedad cerebrovascular de pequeño vaso
Small vessel cerebrovascular disease
Visits
27887
P. Cardona Portelaa,
Corresponding author
pcardonap@bellvitgehospital.cat

Autor para correspondencia.
, A. Escrig Avellanedab
a Servicio de Neurología, Hospital Universitario de Bellvitge, L’Hospitalet de Llobregat, España
b Servicio de Neurología, Parc Sanitari Sant Joan de Deu, Sant Boi de Llobregat, España
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Resumen

La enfermedad vascular de pequeño vaso representa un espectro de diferentes entidades que incluyen el infarto lacunar, la alteración de sustancia blanca y los microsangrados. La hipertensión es el principal factor de riesgo asociado, aunque la lesión aterotrombótica puede estar presente sobre todo en los infartos lacunares de gran tamaño y con otros factores de riesgo vascular. Los hallazgos en RM son característicos y las lesiones auténticos biomarcadores que permiten diferenciar el valor de los factores de riesgo y definir su valor pronóstico.

Palabras clave:
Lacunar
Infarto
Vaso pequeño
Leuocaraiosis
Hipertensión
Microsangrados
Sustancia blanca
Trombolisis
Abstract

Small vessel vascular disease is a spectrum of different conditions that includes lacunar infarction, alteration of deep white matter, or microbleeds. Hypertension is the main risk factor, although the atherothrombotic lesion may be present, particularly in large-sized lacunar infarctions along with other vascular risk factors. MRI findings are characteristic and the lesions authentic biomarkers that allow differentiating the value of risk factors and defining their prognostic value.

Keywords:
Small vessel disease
Lacunar stroke
Leucoaraiosis
Hypertension
Microbleeds
White matter
Thrombolysis

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