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Titolo:
BRAIN INFARCTION SEVERITY DIFFERS ACCORDING TO CARDIAC OR ARTERIAL EMBOLIC SOURCE
Autore:
TIMSIT SG; SACCO RL; MOHR JP; FOULKES MA; TATEMICHI TK; WOLF PA; PRICE TR; HIER DB;
Indirizzi:
COLUMBIA PRESBYTERIAN MED CTR,INST NEUROL,710 W 168TH ST NEW YORK NY 10032 COLUMBIA PRESBYTERIAN MED CTR,INST NEUROL,710 W 168TH ST NEW YORK NY 10032 UNIV ILLINOIS URBANA IL 61801 UNIV MARYLAND COLL PK MD 20742 BOSTON UNIV,MED CTR BOSTON MA 02215 NINCDS,BIOMETRY & FIELD STUDIES BRANCH BETHESDA MD 20892
Titolo Testata:
Neurology
fascicolo: 4, volume: 43, anno: 1993,
pagine: 728 - 733
SICI:
0028-3878(1993)43:4<728:BISDAT>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
STROKE DATA-BANK; MIDDLE CEREBRAL-ARTERY; ATRIAL-FIBRILLATION; OCCLUSIVE DISEASE; RISK; CONSCIOUSNESS; DISPLACEMENT; TERRITORY; REGISTRY; BRUITS;
Tipo documento:
Article
Natura:
Periodico
Citazioni:
33
Recensione:
Indirizzi per estratti:
Citazione:
S.G. Timsit et al., "BRAIN INFARCTION SEVERITY DIFFERS ACCORDING TO CARDIAC OR ARTERIAL EMBOLIC SOURCE", Neurology, 43(4), 1993, pp. 728-733

Abstract

We compared clinical and radiologic features between 246 cardiac embolism (EMB) and 66 arterial embolic (tandem arterial pathology [TAP]) patients selected from the 1,273 patients with cerebral infarction in the Stroke Data Bank. Diagnostic definitions accounted for the increased frequency of cardiac disease among patients with EMB compared with TAP (78.4% versus 29.3%), while transient ischemic attacks (32.3% versus 13.1%) and carotid artery bruit (15.1% versus 3.3%) were more prevalent in TAP than in EMB. Multiple logistic regression differentiated TAP and EMB further. The probability of a TA-P diagnosis was increased by the CT finding of a superficial infarct alone (odds ratio [OR] = 4.6; 95% CI = 1.5 to 13.7) or by a higher admission hematocrit. The probability of EMB was greater in patients with an initial decreased consciousness (OR = 39.2; 95% CI = 4.0 to 381.3) or with an abnormal first CT (OR = 3.2; 95% CI = 1.2 to 8.6). These findings indicate that the two infarct subtypes differ in the location and extent of the cortical infarction, which argues for a smaller particle size, with smaller and more distal infarction in embolism from an arterial source compared with cardiogenic embolism.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 10:01:18