Ischemic stroke natural history: Difference between revisions
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*Severe neurological deficit | *Severe neurological deficit | ||
*Large volume of infarct (supratentorial infarcts) | *Large volume of infarct (supratentorial infarcts) | ||
*Infarct location and vascular supply | *Infarct location and vascular supply<ref name="pmid19747656">{{cite journal| author=Huttner HB, Schwab S| title=Malignant middle cerebral artery infarction: clinical characteristics, treatment strategies, and future perspectives. | journal=Lancet Neurol | year= 2009 | volume= 8 | issue= 10 | pages= 949-58 | pmid=19747656 | doi=10.1016/S1474-4422(09)70224-8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19747656 }} </ref><ref name="pmid8929152">{{cite journal| author=Hacke W, Schwab S, Horn M, Spranger M, De Georgia M, von Kummer R| title='Malignant' middle cerebral artery territory infarction: clinical course and prognostic signs. | journal=Arch Neurol | year= 1996 | volume= 53 | issue= 4 | pages= 309-15 | pmid=8929152 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8929152 }} </ref><ref name="pmid20354047">{{cite journal| author=Treadwell SD, Thanvi B| title=Malignant middle cerebral artery (MCA) infarction: pathophysiology, diagnosis and management. | journal=Postgrad Med J | year= 2010 | volume= 86 | issue= 1014 | pages= 235-42 | pmid=20354047 | doi=10.1136/pgmj.2009.094292 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20354047 }} </ref> | ||
:*Cervical internal carotid artery | :*Cervical internal carotid artery | ||
:*Anterior choroidal artery | :*Anterior choroidal artery | ||
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:*Basilar artery | :*Basilar artery | ||
:*Large intracranial artery | :*Large intracranial artery | ||
====== Presence of clinical complications ====== | ====== Presence of clinical complications ====== | ||
:*Cerebral edema | :*Cerebral edema | ||
Revision as of 15:32, 10 November 2016
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Ischemic Stroke Microchapters |
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Ischemic stroke natural history On the Web |
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Risk calculators and risk factors for Ischemic stroke natural history |
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[5][6][7]
- 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.
- ↑ Huttner HB, Schwab S (2009). "Malignant middle cerebral artery infarction: clinical characteristics, treatment strategies, and future perspectives". Lancet Neurol. 8 (10): 949–58. doi:10.1016/S1474-4422(09)70224-8. PMID 19747656.
- ↑ Hacke W, Schwab S, Horn M, Spranger M, De Georgia M, von Kummer R (1996). "'Malignant' middle cerebral artery territory infarction: clinical course and prognostic signs". Arch Neurol. 53 (4): 309–15. PMID 8929152.
- ↑ Treadwell SD, Thanvi B (2010). "Malignant middle cerebral artery (MCA) infarction: pathophysiology, diagnosis and management". Postgrad Med J. 86 (1014): 235–42. doi:10.1136/pgmj.2009.094292. PMID 20354047.