COMPARISON OF CLINICAL AND NEURORADIOLOGICAL FINDINGS IN FIRST-EVER STROKE

DOI：

10.1161/01.str.25.7.1371

发表时间：

1994-07-01

期刊：

STROKE

影响因子：

8.3

通讯作者：

中科院分区：

医学1区

文献类型：

作者：

LINDGREN, A;NORRVING, B;JOHANSSON, BB

背景和目的确定最近提出的临床脑卒中亚分类如何与大脑计算机断层扫描（CT）和磁共振成像（MRI）的特定发现相对应。方法将228例首次脑卒中患者分为4个临床亚组：(1)全前循环综合征：大脑前动脉和中动脉区域出现皮质和皮质下症状；(2)部分前循环综合征：来自同一动脉区域的受限和主要的皮质症状；(3)腔隙综合征；(4)后循环综合征：椎基底动脉或大脑后动脉症状。成像方案包括急性中风发作后第0天至第15天的脑部CT和第16天至180天的第二次脑部CT和MRI。结果脑梗死200例，脑出血28例。19%的全前循环综合征患者出现脑出血，腔隙综合征患者无脑出血(chi(2)检验；P

Background and Purpose To determine how a recently proposed clinical stroke subclassification corresponds to specific findings on computed tomography (CT) and magnetic resonance imaging (MRI) of the brain.Methods Two hundred twenty-eight patients with first-ever stroke were divided into four clinical subgroups: (1) total anterior circulation syndrome: both cortical and subcortical symptoms from anterior and middle cerebral artery territory; (2) partial anterior circulation syndrome: more restricted and predominantly cortical symptoms from the same arterial territories; (3) lacunar syndrome; and (4) posterior circulation syndrome: vertebrobasilar or posterior cerebral artery symptoms. The imaging protocol included CT of the brain on day 0 through 15 and a second CT and an MRI of the brain on day 16 through 180 after acute stroke onset.Results There were 200 patients with cerebral infarction and 28 patients with intracerebral hemorrhage. Intracerebral hemorrhage was found in 19% of patients with total anterior circulation syndrome and in no patients with lacunar syndrome (chi(2) test; P

COMPARISON OF CLINICAL AND NEURORADIOLOGICAL FINDINGS IN FIRST-EVER STROKE - A POPULATION-BASED STUDY

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