Does acute occlusion of the carotid T invariably have a poor outcome?

Neurology
D GeorgiadisS Schwab

Abstract

To evaluate the prognosis of patients with acute occlusion of the carotid T. The authors studied 42 consecutive patients with acute carotid T occlusion, age 66 (59 to 74) years (median [interquartile range]). T occlusion was diagnosed with transcranial Doppler sonography (TCD; n = 11) and MR (n = 28) or CT (n = 3) angiography. Final infarction size was evaluated on follow-up CT 3 to 7 days after symptom onset and recanalization by follow-up TCD 24 to 36 hours after symptom onset. NIH Stroke Scale (NIHSS) score on admission was 18 (16 to 20). Final infarct size was one-third or less of the middle cerebral artery (MCA) territory in 11, greater than one-third but less than or equal to two-thirds of the MCA territory in 10, and greater than two-thirds of the MCA territory in 21 patients. Modified Rankin Scale (mRS) score 6 months after stroke onset was 2 in 7 (17%), 3 in 2 (5%), 4 in 13 (31%), 5 in 7 (17%), and 6 in 13 (31%) patients. Complete or partial MCA recanalization within 24 hours after symptom onset was observed in 12 of 18 patients treated with thrombolysis and 4 of the remaining 24 patients (p = 0.001) and was associated with better clinical outcome (mRS 2, recanalization 6/7 [86%]; mRS 3 to 5, recanalization 8/22 [36%];...Continue Reading

Citations

Nov 24, 2006·Cardiovascular and Interventional Radiology·Rainer DabitzDierk Vorwerk
Mar 31, 2012·Journal of Neurology·Christoph BeckGötz Thomalla
Dec 21, 2013·Acta neurologica Belgica·Archana Hinduja
Nov 21, 2014·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Trent H OrtonDaniela Iancu
Nov 12, 2013·International Journal of Stroke : Official Journal of the International Stroke Society·Ronen R LekerJose E Cohen
Jan 26, 2007·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·V K SharmaA V Alexandrov
Sep 27, 2007·Cerebrovascular Diseases·Giovanni MalferrariUNKNOWN SINV Group
Jun 28, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Leonard L L YeoVijay K Sharma
Jul 21, 2016·Journal of Intensive Care Medicine·Fawaz Al-MuftiPhilip M Meyers
Mar 3, 2007·Stroke; a Journal of Cerebral Circulation·Alexander C FlintUNKNOWN MERCI and Multi MERCI Writing Committee
Jun 18, 2005·Stroke; a Journal of Cerebral Circulation·Wade S SmithUNKNOWN MERCI Trial Investigators
May 3, 2006·Journal of Physics. Condensed Matter : an Institute of Physics Journal·K K KadyrzhanovT E Turkebaev
Oct 1, 2017·Journal of Neurointerventional Surgery·Thabele Leslie-MazwiUNKNOWN Standards and Guidelines committee of the Society of NeuroInterventional Surgery (SNIS)

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.