Neurological outcome and quality of life after stroke due to vertebral artery dissection

Cerebrovascular Diseases
Diana Czechowsky, Michael D Hill

Abstract

Vertebral artery dissection is a well-recognized cause of posterior circulation stroke for which there is relatively little information on long-term outcomes. Quality of life (QOL) is an important patient-centred outcome measure. Stroke due to vertebral artery dissection was conservatively defined by neuroimaging documentation. Thirty sequential cases were identified based on a retrospective database and chart review with prospective follow-up. Surviving patients completed the Short Form-36 (SF-36) and the Stroke-Specific Quality of Life (SSQOL) scales and were subsequently examined neurologically and scored on the National Institutes of Health Stroke Scale (NIHSS). Comparisons were made between outcome on the stroke scale and QOL scales and between outcome on the SF-36 and the Canadian population. There was discordance between outcomes recorded on a standard stroke scale and QOL measures with more patients scoring poorly on QOL measures. QOL was low in one third of the survivors. Overall QOL was significantly lower than the general population. Stroke due to vertebral artery dissection results in poorer outcomes on patient-centred QOL measures than on a standard stroke scale.

Citations

Mar 26, 2009·Journal of Neurology·Urs FischerMarcel Arnold
Feb 4, 2010·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Keh-Chung LinPei-Chin Lee
Aug 31, 2012·The Neurologist·Maja Stefanović- BudimkićDejana R Jovanović
Dec 21, 2006·Journal of Neurology, Neurosurgery, and Psychiatry·Shigeo YamashiroShodo Fujioka
Dec 15, 2007·Journal of Neurosurgery·Shigeo YamashiroShodo Fujioka
Jul 16, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Verena SpeckThomas Schenk
Feb 22, 2007·Neurorehabilitation and Neural Repair·Thomas Ewert, Gerold Stucki
Jul 12, 2021·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Lisa J CameronNatasha A Lannin

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