Mild neurological symptoms despite middle cerebral artery occlusion.

Autor: Coutts SB; Department of Clinical Neurosciences, University of Calgary, Alberta T2N 2T9, Canada. shelagh.coutts@calgaryhealthregion.ca, Barber PA, Demchuk AM, Hill MD, Pexman JH, Hudon ME, Buchan AM
Jazyk: angličtina
Zdroj: Stroke [Stroke] 2004 Feb; Vol. 35 (2), pp. 469-71. Date of Electronic Publication: 2004 Jan 15.
DOI: 10.1161/01.STR.0000110985.01773.7F
Abstrakt: Background and Purpose: Only a small percentage of stroke patients are treated with thrombolytic therapy. We sought to determine whether vessel occlusion in mild strokes represented a new target population for interventional therapy.
Methods: We imaged 106 acute stroke patients with MRI. Patients were identified with evidence of middle cerebral artery (MCA) occlusion and mild or no stroke signs (National Institutes of Health Stroke Scale [NIHSS] 3, and MCA occlusion.
Results: We identified 5 patients with absent flow on MRA in the MCA and mild or no stroke signs (NIHSS Conclusions: Caution should be exercised in considering thrombolytic therapy in these patients. Quantification of perfusion imaging is required to identify "at risk" mild stroke populations.
Databáze: MEDLINE
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