Ischemic stroke natural history: Difference between revisions
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==Prognosis== | ==Prognosis== | ||
Prognosis of stroke depends on factors such as:<ref name="pmid24049549">{{cite journal| author=Faraji F, Ghasami K, Talaie-Zanjani A, Mohammadbeigi A| title=Prognostic factors in acute stroke, regarding to stroke severity by Canadian Neurological Stroke Scale: A hospital-based study. | journal=Asian J Neurosurg | year= 2013 | volume= 8 | issue= 2 | pages= 78-82 | pmid=24049549 | doi=10.4103/1793-5482.116378 | pmc=3775186 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24049549 }} </ref> | Prognosis of stroke depends on factors such as:<ref name="pmid24049549">{{cite journal| author=Faraji F, Ghasami K, Talaie-Zanjani A, Mohammadbeigi A| title=Prognostic factors in acute stroke, regarding to stroke severity by Canadian Neurological Stroke Scale: A hospital-based study. | journal=Asian J Neurosurg | year= 2013 | volume= 8 | issue= 2 | pages= 78-82 | pmid=24049549 | doi=10.4103/1793-5482.116378 | pmc=3775186 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24049549 }} </ref><ref name="pmid16091575">{{cite journal| author=Holloway RG, Benesch CG, Burgin WS, Zentner JB| title=Prognosis and decision making in severe stroke. | journal=JAMA | year= 2005 | volume= 294 | issue= 6 | pages= 725-33 | pmid=16091575 | doi=10.1001/jama.294.6.725 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16091575 }} </ref><ref name="pmid9484351">{{cite journal| author=Heinsius T, Bogousslavsky J, Van Melle G| title=Large infarcts in the middle cerebral artery territory. Etiology and outcome patterns. | journal=Neurology | year= 1998 | volume= 50 | issue= 2 | pages= 341-50 | pmid=9484351 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9484351 }} </ref> | ||
*Age of the patient | *Age of the patient | ||
*Location of infarct | *Location of infarct | ||
Revision as of 21:58, 9 November 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Natural History
Complications
| Duration | Complications |
|---|---|
| Early complications
( <7 days ) |
|
| Late complications
( >7 days ) |
|
Prognosis
Prognosis of stroke depends on factors such as:[2][3][4]
- Age of the patient
- Location of infarct
- Size and volume of infarct
- Extent of neurological damage
- Time to seek medical help
- Comorbid conditions such as
- Intevention such as thrombolysis
- Quality of rehabilition care
- Complications
Good Prognostic factors
Bad prognostic factors
Infarct size and location
- Large size of infarct
- Severe neurological deficit
- Large volume of infarct (supratentorial infarcts)
- Infarct location and vascular supply
- Cervical internal carotid artery
- Anterior choroidal artery
- Insular branch of middle cerebral artery
- Basilar artery
- Large intracranial artery
Presence of clinical complications
- Cerebral edema
- Fever
- Hyperglycemia >200mg/dl
Presence of other co morbid conditions
- Anemia
- Myocardial infarction
- Diabetes mellitus
- Atrial fibrillation
- Malnutrition
- Renal dysfunction
- Heart failure
- Cancer
- Coronary artery disease
Other
- Advanced age
- Low socioeconomic status
- African American population
References
- ↑ Senelick Richard C., Rossi, Peter W., Dougherty, Karla (1994). Living with Stroke: A Guide For Families. Contemporary Books, Chicago.
- ↑ Faraji F, Ghasami K, Talaie-Zanjani A, Mohammadbeigi A (2013). "Prognostic factors in acute stroke, regarding to stroke severity by Canadian Neurological Stroke Scale: A hospital-based study". Asian J Neurosurg. 8 (2): 78–82. doi:10.4103/1793-5482.116378. PMC 3775186. PMID 24049549.
- ↑ Holloway RG, Benesch CG, Burgin WS, Zentner JB (2005). "Prognosis and decision making in severe stroke". JAMA. 294 (6): 725–33. doi:10.1001/jama.294.6.725. PMID 16091575.
- ↑ Heinsius T, Bogousslavsky J, Van Melle G (1998). "Large infarcts in the middle cerebral artery territory. Etiology and outcome patterns". Neurology. 50 (2): 341–50. PMID 9484351.