U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

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
Osgood ML
Curr Neurol Neurosci Rep 2021 Jul 26;21(9):50. doi: 10.1007/s11910-021-01136-9. PMID: 34308493
Gąsecki D, Kwarciany M, Kowalczyk K, Narkiewicz K, Karaszewski B
Curr Hypertens Rep 2020 Dec 10;23(1):3. doi: 10.1007/s11906-020-01120-7. PMID: 33305339Free PMC Article

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
Geraldini F, De Cassai A, Diana P, Correale C, Boscolo A, Zampirollo S, Disarò L, Carere A, Cacco N, Navalesi P, Munari M
Neurocrit Care 2022 Jun;36(3):1071-1079. Epub 2022 Apr 13 doi: 10.1007/s12028-022-01493-4. PMID: 35419702
Przykaza Ł
Front Immunol 2021;12:782569. Epub 2021 Nov 15 doi: 10.3389/fimmu.2021.782569. PMID: 34868060Free PMC Article
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
Gaspard N
Minerva Anestesiol 2020 Dec;86(12):1331-1339. Epub 2020 May 21 doi: 10.23736/S0375-9393.20.14507-3. PMID: 32441086

Diagnosis

Abdulazim A, Heilig M, Rinkel G, Etminan N
Neurocrit Care 2023 Oct;39(2):311-319. Epub 2023 Aug 3 doi: 10.1007/s12028-023-01812-3. PMID: 37537496Free PMC Article
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
Shin TH, Lee DY, Basith S, Manavalan B, Paik MJ, Rybinnik I, Mouradian MM, Ahn JH, Lee G
Cells 2020 Jul 7;9(7) doi: 10.3390/cells9071630. PMID: 32645907Free PMC Article
Farooq S, Testai FD
Curr Neurol Neurosci Rep 2019 Feb 28;19(4):17. doi: 10.1007/s11910-019-0932-0. PMID: 30820687
Findlay JM, Nisar J, Darsaut T
Can J Neurol Sci 2016 Jan;43(1):15-32. Epub 2015 Sep 2 doi: 10.1017/cjn.2015.288. PMID: 26332908

Therapy

Wolf S, Mielke D, Barner C, Malinova V, Kerz T, Wostrack M, Czorlich P, Salih F, Engel DC, Ehlert A, Staykov D, Alturki AY, Sure U, Bardutzky J, Schroeder HWS, Schürer L, Beck J, Juratli TA, Fritsch M, Lemcke J, Pohrt A, Meyer B, Schwab S, Rohde V, Vajkoczy P; EARLYDRAIN Study Group
JAMA Neurol 2023 Aug 1;80(8):833-842. doi: 10.1001/jamaneurol.2023.1792. PMID: 37330974Free PMC Article
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
Geraldini F, De Cassai A, Diana P, Correale C, Boscolo A, Zampirollo S, Disarò L, Carere A, Cacco N, Navalesi P, Munari M
Neurocrit Care 2022 Jun;36(3):1071-1079. Epub 2022 Apr 13 doi: 10.1007/s12028-022-01493-4. PMID: 35419702
Rosenthal ES
Continuum (Minneap Minn) 2021 Oct 1;27(5):1321-1343. doi: 10.1212/CON.0000000000001012. PMID: 34618762
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

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
Raub D, Platzbecker K, Grabitz SD, Xu X, Wongtangman K, Pham SB, Murugappan KR, Hanafy KA, Nozari A, Houle TT, Kendale SM, Eikermann M
J Am Heart Assoc 2021 Feb;10(5):e018952. Epub 2021 Feb 26 doi: 10.1161/JAHA.120.018952. PMID: 33634705Free PMC Article
Tran LV
J Trauma Nurs 2014 Jan-Feb;21(1):30-5. doi: 10.1097/JTN.0000000000000026. PMID: 24399316
Marion DW
Crit Care Med 2004 Feb;32(2 Suppl):S43-5. doi: 10.1097/01.ccm.0000110731.69637.16. PMID: 15043227
Wilterdink JL, Easton JD
Adv Neurol 1994;64:1-11. PMID: 8291460

Clinical prediction guides

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
Wang Y, Zhao X, Liu L, Soo YO, Pu Y, Pan Y, Wang Y, Zou X, Leung TW, Cai Y, Bai Q, Wu Y, Wang C, Pan X, Luo B, Wong KS; CICAS Study Group
Stroke 2014 Mar;45(3):663-9. Epub 2014 Jan 30 doi: 10.1161/STROKEAHA.113.003508. PMID: 24481975
Liebeskind DS, Sanossian N
Neurology 2012 Sep 25;79(13 Suppl 1):S105-9. doi: 10.1212/WNL.0b013e3182695904. PMID: 23008383Free PMC Article
Thomas BP, Larson Iii TC
Cerebrovasc Dis 2007;23(5-6):453-6. Epub 2007 Apr 13 doi: 10.1159/000101746. PMID: 17435383
Zandbergen EG, de Haan RJ, Koelman JH, Hijdra A
J Clin Neurophysiol 2000 Sep;17(5):498-501. doi: 10.1097/00004691-200009000-00008. PMID: 11085553

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
Pontes JPM, Santos MDC, Gibram FC, Rodrigues NMV, Cavalcante-Neto JF, Barros ADM, Solla DJF
Neurosurgery 2023 Dec 1;93(6):1208-1219. Epub 2023 Jul 18 doi: 10.1227/neu.0000000000002601. PMID: 37462365
Geraldini F, De Cassai A, Diana P, Correale C, Boscolo A, Zampirollo S, Disarò L, Carere A, Cacco N, Navalesi P, Munari M
Neurocrit Care 2022 Jun;36(3):1071-1079. Epub 2022 Apr 13 doi: 10.1007/s12028-022-01493-4. PMID: 35419702
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
van der Kleij LA, De Vis JB, Olivot JM, Calviere L, Cognard C, Zuithoff NP, Rinkel GJ, Hendrikse J, Vergouwen MD
Stroke 2017 Jan;48(1):239-245. Epub 2016 Dec 6 doi: 10.1161/STROKEAHA.116.011707. PMID: 27924052

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...