Neurology Exam Prep Podcast Episode 63 - Nonvasculitic Vasculopathies
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Dec 22, 2023 This podcast explores nonvasculitic vasculopathies in cerebrovascular disease with in-depth discussions on extracranial atherosclerosis, vessel dissections, Horner's syndrome, sympathetic deficits, vasospasms, and treatment options. It also covers cerebral vasculopathies like CADASIL and cerebral amyloid angiopathy, along with diagnostic and treatment approaches for nonvasculitic vasculopathies.
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Vasculopathy Classification
- Vasculopathies are broadly classified as inflammatory (vasculitic) or non-inflammatory.
- Inflammatory vasculopathies often present with headaches, altered mentation, and systemic complications.
Vasculopathy Location
- Vasculopathies can be categorized by location: extracranial or intracranial.
- Extracranial involves carotid, vertebral arteries, and aorta; intracranial involves brain vessels.
Extracranial Atherosclerosis
- Extracranial atherosclerosis, occurring at turbulent blood flow areas like the carotid bifurcation, is the most common vasculopathy.
- It involves hard (calcified) or soft (ulcerated) plaques, linked to modifiable and non-modifiable risk factors.