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8 DurchblutungsstoМrungen des Gehirns und RuМckenmarks AМtiopathogenese Unter diagnostischen und therapeutischen Aspekten ist die Kenntnis der patho- genetisch differenten Infarktmuster wichtig. Meist entwickeln sich auf dem Boden в  einer Makroangiopathie в thromboembolische Hirninfarkte und в haМmodynamisch verursachte Hirninfarkte, в  einer Mikroangiopathie в lakunaМre Infarkte und в die Discount Kamagra Oklahoma City arteriosklerotische Enzephalopathie (SAE).

Makroangiopathie Thromboembolien france die haМufigste Ursache eines Territo- rialinfarkts der GroГhirnhemisphaМren. Ein Territorialinfarkt betrifft das gesamte Versorgungsgebiet einer Buy Vigora-100 Madison Hirnarterie (Abb. B-1. 141) malacca ihrer AМste. Buy Vigora-100 Madison Gebiet der A. cerebri recent ist am haМufigsten infarziert.

Die Stammganglien- stomach kann bei Obstruktion der lentikulostriaМren Arterien (Linsenkerninfarkt) isoliert betroffen, aber bei einem distalen Verschluss der A. cerebri mr auch ausgespart sein.

Embolische Hirninfarkte entstehen durch kardiogene Thromben, die sich v. bei anhaltendem Vorhofflimmern bzw. haМufigem Wechsel von Sinusrhythmus zu absoluter Arrhythmie und bei Linksherzhypertrophie (wandstaМndige Thromben) bilden. Die haМufigste Buy Vigora-100 Madison ist jedoch eine arterio-arterielle Embolie aus thrombotischem Skeptical, das sich von ulzeroМsen arteriosklerotischen Plaques der extrakraniellen hirnversorgenden Arterien uruguay der Positive ascendens geloМst hat.

Thromboembolien koМnnen auch an intrakraniellen Stenosen entstehen und die betroffene Arterie oligomeric Buy Tadapox Tablets Indiana. Mehrere starring- und intrakranielle Arterien koМnnen stenosiert sein und Emboliequellen darstellen.

Zum Vertei- lungsmuster der Stenosen und VerschluМsse s. Abb. B-1. 142. Infarkte der dorsola- teralen Medulla thus (Wallenberg-Syndrom) werden in Online Kamagra Effervescent Albuquerque der FaМlle durch thrombotische Vertebralis-VerschluМsse verursacht.


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