Cited 0 times in Scipus Cited Count

The course of patients with lacunar infarcts and a parent arterial lesion: similarities to large artery vs small artery disease.

DC Field Value Language
dc.contributor.authorBang, OY-
dc.contributor.authorJoo, SY-
dc.contributor.authorLee, PH-
dc.contributor.authorJoo, US-
dc.contributor.authorLee, JH-
dc.contributor.authorJoo, IS-
dc.contributor.authorHuh, K-
dc.date.accessioned2011-06-30T04:11:16Z-
dc.date.available2011-06-30T04:11:16Z-
dc.date.issued2004-
dc.identifier.issn0003-9942-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/3142-
dc.description.abstractBackground: The significance of occlusive lesions of the parent artery in patients with lacunar syndrome (LS) and small deep infarcts (SDIs) on diffusion-weighted imaging remains unclear.
Objective: To compare the recurrence of stroke in patients with LS and SDIs between those with vs without a parent arterial lesion.
Design: Analysis of data from a prospective acute stroke registry.
Setting: University hospital.
Patients: Using clinical syndrome, diffusion-weighted imaging, and vascular studies, we divided 173 patients into 3 groups: (1) parent arterial disease occluding deep perforators (PAD), LS with SDIs, and a parent arterial lesion (n = 32); (2) small artery disease (SAD) (n = 70); and (3) large artery disease (LAD) (n = 71).
Main outcome measures: Recurrent strokes and the prognosis were registered for 1 year, and the outcome of the PAD group was compared with that of the SAD and LAD groups.
Results: During follow-up, there were 9 deaths (6 vascular) and 18 recurrent strokes. The recurrence rate in the PAD group (16%) was significantly higher than that in the SAD group (1%) (P =.01) but similar to that in the LAD group (17%) (P =.87). The presence of the parent arterial lesion was the only independent predictor of stroke recurrence in patients with LS and SDIs (odds ratio, 13.8; 95% confidence interval, 1.5-123.9; P =.02).
Conclusions: Although LS on examination, SDIs on diffusion-weighted imaging, and a stable hospital course suggest lacunar stroke of benign course, our results indicate that the PAD group represents an intracranial type of LAD.
-
dc.formatapplication/pdf-
dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHArterial Occlusive Diseases-
dc.subject.MESHBrain Infarction-
dc.subject.MESHCerebral Arterial Diseases-
dc.subject.MESHDiagnosis, Differential-
dc.subject.MESHDiffusion Magnetic Resonance Imaging-
dc.subject.MESHDominance, Cerebral-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPrognosis-
dc.subject.MESHRecurrence-
dc.subject.MESHRisk Factors-
dc.subject.MESHSensitivity and Specificity-
dc.subject.MESHSurvival Rate-
dc.titleThe course of patients with lacunar infarcts and a parent arterial lesion: similarities to large artery vs small artery disease.-
dc.typeArticle-
dc.identifier.pmid15096399-
dc.identifier.urlhttp://archneur.ama-assn.org/cgi/pmidlookup?view=long&pmid=15096399-
dc.contributor.affiliatedAuthor방, 오영-
dc.contributor.affiliatedAuthor이, 필휴-
dc.contributor.affiliatedAuthor주, 인수-
dc.contributor.affiliatedAuthor허, 균-
dc.type.localJournal Papers-
dc.identifier.doi10.1001/archneur.61.4.514-
dc.citation.titleArchives of neurology-
dc.citation.volume61-
dc.citation.number4-
dc.citation.date2004-
dc.citation.startPage514-
dc.citation.endPage519-
dc.identifier.bibliographicCitationArchives of neurology, 61(4). : 514-519, 2004-
dc.identifier.eissn1538-3687-
dc.relation.journalidJ000039942-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurology
Journal Papers > School of Medicine / Graduate School of Medicine > Medical Humanities & Social Medicine
Files in This Item:
There are no files associated with this item.

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse