General aspects of cerebrovascular disease in the elderly

Authors

Keywords:

carotid atherosclerosis, cardioembolic disease, cerebral amyloid angiopathy, stroke in the elderly, small vessel disease, vascular dementia.

Abstract

Introduction: A narrative review was carried out of the studies published from 2016 to 2021 on the clinical, etiological, imaging and therapeutic aspects of the different clinical forms of vascular cerebral disease in the elderly. The databases of Medline (PubMed), SciELO, Cochrane and Google Scholar were consulted. Original articles, published in peer-reviewed journals, that included patients over 65 years of age, with a diagnosis of cerebral vascular disease, were taken into account.
Objective: Update on the particularities of cerebral vascular disease in older adults.
Development: In cerebrovascular disease of the elderly, particular conditions are observed: biological, psychological and social, which are less frequent or may even be absent in younger age groups. Large vessel atherosclerosis, cardioembolism, small vessel disease, and cerebral amyloid angiopathy are the predominant etiologies, although other causes may exist. Vascular cognitive impairment represents the second cause of dementia and is a clinical form of presentation of cerebral vascular disease in this age group.
Conclusions: Cerebrovascular disease in the elderly presents particular characteristics that are summarized in: Greater comorbidity and richness of risk factors, which require a systemic, dialectically interrelated and personalized diagnostic approach, in which neuroimaging occupies a unique place. importance; which, in interaction with the clinic, will allow a more comprehensive diagnosis and evolutionary follow-up of these patients.

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Published

2024-04-03

How to Cite

1.
Pérez Lache N, Zamora Mallet M, Paz Sendín L, Arrieta Hernández T, Santos Martínez Ángel M. General aspects of cerebrovascular disease in the elderly. Rev Cubana Med Milit [Internet]. 2024 Apr. 3 [cited 2025 Apr. 3];53(2):e024026098. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/26098

Issue

Vol. 53 No. 2 (2024): April - June

Section

Review Article

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