Predictors of short-term outcome in patients with acute middle cerebral artery occlusion: unsuitability of fluid-attenuated inversion recovery vascular hyperintensity scores
| Autor: | Jia-Qi Tian, Zhen-Wei Yao, Chan-Chan Li, Xiao-Zhu Hao, Xiaoyuan Feng, Yan-Mei Yang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
modified Rankin Scale score
medicine.medical_specialty middle cerebral artery occlusion acute stroke diffusion-weighted imaging Fluid-attenuated inversion recovery cerebral ischemia lcsh:RC346-429 030218 nuclear medicine & medical imaging fluid-attenuated inversion recovery 03 medical and health sciences 0302 clinical medicine Developmental Neuroscience Modified Rankin Scale Internal medicine medicine.artery Occlusion medicine collateral circulation nerve regeneration lcsh:Neurology. Diseases of the nervous system Leptomeningeal collateral circulation business.industry Penumbra National Institutes of Health Stroke Scale neural regeneration Collateral circulation Hyperintensity Middle cerebral artery Cardiology business 030217 neurology & neurosurgery Research Article |
| Zdroj: | Neural Regeneration Research, Vol 13, Iss 1, Pp 69-76 (2018) Neural Regeneration Research |
| ISSN: | 1673-5374 |
| Popis: | Fluid-attenuated inversion recovery (FLAIR) vascular hyperintensity (FVH) is used to assess leptomeningeal collateral circulation, but clinical outcomes of patients with FVH can be very different. The aim of the present study was to assess a FVH score and explore its relationship with clinical outcomes. Patients with acute ischemic stroke due to middle cerebral artery M1 occlusion underwent magnetic resonance imaging and were followed up at 10 days (National Institutes of Health Stroke Scale) and 90 days (modified Rankin Scale) to determine short-term clinical outcomes. Effective collateral circulation indirectly improved recovery of neurological function and short-term clinical outcome by extending the size of the pial penumbra and reducing infarct lesions. FVH score showed no correlation with 90-day functional clinical outcome and was not sufficient as an independent predictor of short-term clinical outcome. |
| Databáze: | OpenAIRE |
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