Intracranial Atherosclerotic Diseases (ICAD)

Sammy Pishanidar, Mais N. Al-Kawaz, Alexander E. Merkler

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Intracranial atherosclerotic disease (ICAD) is a common etiology of stroke, accounting for up to 20% of all strokes worldwide. The risk of developing ICAD increases with age and risk factors including smoking, hypertension, and dyslipidemia. Stroke mechanisms secondary to ICAD vary and include hypoperfusion, artery-to-artery embolism, and plaque extension. Compared to other stroke mechanism, the risk of recurrent stroke among patients with ICAD is high, despite aggressive medical management. Further research evaluating novel therapies is necessary as surgical approaches including stenting have to date not shown benefit. This chapter aims to discuss the pathophysiology and epidemiology of ICAD. In addition, the efficacy of different management and treatment approaches is discussed based on recent clinical evidence.

Original languageEnglish
Title of host publicationNeuromethods
Pages261-274
Number of pages14
DOIs
StatePublished - 2021

Publication series

NameNeuromethods
Volume170
ISSN (Print)0893-2336
ISSN (Electronic)1940-6045

Bibliographical note

Publisher Copyright:
© 2021, Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

  • Intracranial atherosclerosis
  • Ischemic stroke
  • Plaque
  • Prevention
  • Risk factors
  • Stenosis
  • Treatment

ASJC Scopus subject areas

  • General Neuroscience
  • General Biochemistry, Genetics and Molecular Biology
  • General Pharmacology, Toxicology and Pharmaceutics
  • Psychiatry and Mental health

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