The stroke patient who woke up - Clinical and radiological features, including diffusion and perfusion MRI

The stroke patient who woke up - Clinical and radiological features, including diffusion and perfusion MRI
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DOI:
10.1161/01.str.0000014585.17714.67
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发表时间:
2002-04-01
期刊:
影响因子:
8.3
通讯作者:
Schlaug, G
Schlaug, G
中科院分区:
医学1区
文献类型:
--
作者:
Fink, JN;Kumar, S;Schlaug, G

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背景和目的——对于因中风从睡眠中醒来的患者来说,中风发作的时间是不确定的。功能成像技术可以评估急性中风治疗的益处和风险。我们将不确定中风发作的患者与已知发作时间的患者的临床和多模态 MRI 结果进行了比较。方法 - 从前瞻性中风登记中识别 1997 年 1 月至 2000 年 6 月间缺血性中风发作 24 小时内进行影像检查的患者。将已知中风发作的患者(第 1 组)的临床和影像学数据与中风醒来的患者(第 11 组)进行比较。 结果 - 总共确定了 364 名患者,其中 100 名 (27%) 因中风从睡眠中醒来。 I 组和 II 组在年龄、性别、美国国立卫生研究院卒中量表或 TOAST(急性卒中治疗 Org 10 172 试验)诊断方面没有差异。 I 组中风发病时间较短(平均 6.0 小时与 13.3 小时,P
Background and Purpose-Time of stroke onset is uncertain for patients who wake from sleep with stroke. Functional imaging techniques may allow estimation of benefit and risk of acute stroke therapy. We compared the clinical and multimodal MRI findings of patients with uncertain stroke onset with those with known onset time.Methods-Patients imaged within 24 hours of ischemic stroke onset between January 1997 and June 2000 were identified from a prospective stroke registry. Clinical and imaging data from patients with known stroke onset (group 1) were compared with those who woke with stroke (group 11).Results-A total of 364 patients were identified, of whom 100 (27%) woke from sleep with stroke. Group I and group II did not differ in age, gender, National Institutes of Health Stroke Scale, or TOAST (Trial of Org 10 172 in Acute Stroke Treatment) diagnoses. Time from stroke onset was shorter in group I (mean 6.0 versus 13.3 hours, P