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RESEARCH ON STROKE

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Volume 354:1451-1453 April 6, 2006 Number 14
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Small Vessels, Big Problems
Steven M. Greenberg, M.D., Ph.D.

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 by Gould, D. B.
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The impressive gains in stroke prevention and treatment seen over the past decade have not been evenly distributed across all types of stroke. Most advances have pertained to the approximately two thirds of symptomatic strokes that are caused by disease of the large arteries (those more than 0.1 mm in diameter) that run from the neck into the skull, the circle of Willis, and the surface of the brain. These large-vessel subtypes of stroke include atherosclerotic narrowing and occlusion of the large neck vessels, aneurysmal rupture and subarachnoid hemorrhage over the brain surface, and thromboembolic occlusion of the major vessel . . . [Full Text of this Article]


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Dr. Greenberg is the codirector of the Neurology Clinical Trials Unit, Massachusetts General Hospital, and associate professor of neurology at Harvard Medical School — both in Boston.


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