Ischemic stroke natural history
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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[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[8]
- 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.
- ↑ Wijdicks EF, Diringer MN (1998). "Middle cerebral artery territory infarction and early brain swelling: progression and effect of age on outcome". Mayo Clin Proc. 73 (9): 829–36. doi:10.4065/73.9.829. PMID 9737218.