Prognosis of cardiogenic cerebral embolism

Fortschritte der Neurologie-Psychiatrie
P BerlitK H Krause

Abstract

In a retrospective study the reports of 211 cases of cardiogenic cerebral embolism--diagnosed on the base of neurological and cardiological findings--were analyzed in view of signs and findings of prognostic value. There were 21 patients with TIA, 39 cases of RIND and 151 patients with cerebral infarction, 60 of which showed mild and 91 severe neurological symptoms. 38 patients died during the period of hospitalization. While sex of the patients as well as vascular risk factors (hypertension, diabetes mellitus, cigarette smoking) did not influence the clinical course of the disease, patients with TIA or RIND in general were younger (about 5 years) than those with severe stroke. Prognosis of cardiogenic cerebral embolism depended to a great degree on the underlying heart disease. Cerebral embolism after myocardial infarction showed a better remission of symptoms than embolism in atrial fibrillation. In the group of valvular diseases the course of embolic strokes in mitral lesions was worse than in aortal valve disease. Prognosis was worst in endocarditis, both in view of neurological deficit and of mortality. Mostly, the cardiogenic emboli lead to infarctions of the middle cerebral artery territory (78 per cent) with a predilect...Continue Reading

Citations

Jan 1, 1995·Ultrasound in Medicine & Biology·M KapsJ Berg
Apr 24, 2001·Ultrasound in Medicine & Biology·S H MevesT Büttner
Oct 18, 1991·Klinische Wochenschrift·W OderL Deecke
Apr 15, 2005·Neurological Research·Gregory TelmanDavid Yarnitsky
Oct 19, 2007·Vascular and Endovascular Surgery·Nicos LabropoulosSteven S Kang
Jul 1, 1993·Acta Neurologica Scandinavica·C R Hornig, W Dorndorf

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