Unclear-onset stroke: Daytime-unwitnessed stroke vs. wake-up stroke

International Journal of Stroke : Official Journal of the International Stroke Society
Yeon-Jung KimDong-Wha Kang

Abstract

The onset of wake-up stroke and daytime-unwitnessed stroke is unclear. Though the clinical importance is similar by both being excluded from reperfusion therapy, the characteristics of daytime-unwitnessed stroke are less known than that of wake-up stroke. Here, we compared the characteristics between daytime-unwitnessed stroke and wake-up stroke. Unclear-onset (i.e., last-known normal time ≠ first-found abnormal time) stroke patients admitted within 24 h of recognition of stroke between February 2011 and October 2013 were reviewed. Demographics and clinical and imaging variables were compared between patients with daytime-unwitnessed stroke and those with wake-up stroke. Among the 762 ischemic stroke patients, 276 (36.2%) had unclear-onset stroke (104 daytime-unwitnessed stroke and 172 wake-up stroke). Compared to wake-up stroke, daytime-unwitnessed stroke patients had a higher prevalence of cardioembolic stroke and more frequently presented altered mental status (p < 0.001) and/or aphasia (p < 0.001) with more severe neurological deficit (p < 0.001). However, the time from symptom recognition to hospital arrival was shorter (p < 0.001), and diffusion-weighted image-fluid-attenuated inversion recovery image mismatch (p = 0.02) ...Continue Reading

References

Jun 1, 1992·Stroke; a Journal of Cerebral Circulation·G D HarperC M Castleden
Dec 14, 1995·The New England Journal of Medicine·UNKNOWN National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group
Sep 10, 1998·Stroke; a Journal of Cerebral Circulation·A LagoM Baquero
Jan 10, 2002·Stroke; a Journal of Cerebral Circulation·Laurent DerexPaul Trouillas
Feb 24, 2006·Cerebrovascular Diseases·Kenichi TodoHiroaki Naritomi
Mar 14, 2007·Journal of Neurology·Jordi Jiménez-CondeJaume Roquer
May 7, 2011·Stroke; a Journal of Cerebral Circulation·Beom Joon KimByung-Woo Yoon
May 11, 2011·Neurology·J MackeyJ P Broderick
Aug 2, 2011·Current Cardiology Reviews·Adrià Arboix, Josefina Alió
Apr 19, 2012·International Journal of Stroke : Official Journal of the International Stroke Society·Dong-Wha KangJong S Kim
Oct 25, 2012·Stroke; a Journal of Cerebral Circulation·Dong-Wha KangJong S Kim
Nov 10, 2012·Stroke; a Journal of Cerebral Circulation·Andria L FordJin-Moo Lee
Mar 20, 2014·Stroke; a Journal of Cerebral Circulation·David CurfmanAndria L Ford
Apr 12, 2014·Frontiers in Neurology·D Leander Rimmele, Götz Thomalla
Oct 21, 2014·Journal of Stroke·Bum Joon KimDong-Wha Kang
Feb 12, 2015·The New England Journal of Medicine·Bruce C V CampbellUNKNOWN EXTEND-IA Investigators
Feb 12, 2015·The New England Journal of Medicine·Mayank GoyalUNKNOWN ESCAPE Trial Investigators

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Citations

Apr 21, 2017·International Journal of Stroke : Official Journal of the International Stroke Society·Götz ThomallaChristian Gerloff
Apr 19, 2018·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·J LiZ Xia
Feb 14, 2018·AJNR. American Journal of Neuroradiology·P BückeH Henkes
Sep 13, 2019·CNS Spectrums·Mohamed ElfilBrian B Koo
Jan 29, 2020·Stroke; a Journal of Cerebral Circulation·Hyunna LeeDong-Wha Kang
Jul 2, 2020·Current Neurology and Neuroscience Reports·Mark R EthertonLee H Schwamm
May 15, 2018·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·S EscalardUNKNOWN ETIS (Endovascular Treatment in Ischemic Stroke) Research Investigators
Jul 17, 2020·Journal of Neurology·Yu-Lei ZhangYun-Cheng Wu
May 14, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Katharina VedderProf Dr Angelika Alonso
Sep 28, 2021·International Journal of Stroke : Official Journal of the International Stroke Society·Chang JianboWang Renzhi

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Methods Mentioned

BETA
imaging technique

Software Mentioned

SPSS

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