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- Urs Fischer
- From the Departments of Neurology (U.R., A.B., M.A., K.N., G.M.D.M., L.K., M.-L.M., H.P.M.) and Neuroradiology (J.G., C.B., G.S.), Inselspital, University Hospital Bern and University of Bern, Switzerland.
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- Adrian Baumgartner
- From the Departments of Neurology (U.R., A.B., M.A., K.N., G.M.D.M., L.K., M.-L.M., H.P.M.) and Neuroradiology (J.G., C.B., G.S.), Inselspital, University Hospital Bern and University of Bern, Switzerland.
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- Marcel Arnold
- From the Departments of Neurology (U.R., A.B., M.A., K.N., G.M.D.M., L.K., M.-L.M., H.P.M.) and Neuroradiology (J.G., C.B., G.S.), Inselspital, University Hospital Bern and University of Bern, Switzerland.
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- Krassen Nedeltchev
- From the Departments of Neurology (U.R., A.B., M.A., K.N., G.M.D.M., L.K., M.-L.M., H.P.M.) and Neuroradiology (J.G., C.B., G.S.), Inselspital, University Hospital Bern and University of Bern, Switzerland.
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- Jan Gralla
- From the Departments of Neurology (U.R., A.B., M.A., K.N., G.M.D.M., L.K., M.-L.M., H.P.M.) and Neuroradiology (J.G., C.B., G.S.), Inselspital, University Hospital Bern and University of Bern, Switzerland.
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- Gian Marco De Marchis
- From the Departments of Neurology (U.R., A.B., M.A., K.N., G.M.D.M., L.K., M.-L.M., H.P.M.) and Neuroradiology (J.G., C.B., G.S.), Inselspital, University Hospital Bern and University of Bern, Switzerland.
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- Liliane Kappeler
- From the Departments of Neurology (U.R., A.B., M.A., K.N., G.M.D.M., L.K., M.-L.M., H.P.M.) and Neuroradiology (J.G., C.B., G.S.), Inselspital, University Hospital Bern and University of Bern, Switzerland.
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- Marie-Luise Mono
- From the Departments of Neurology (U.R., A.B., M.A., K.N., G.M.D.M., L.K., M.-L.M., H.P.M.) and Neuroradiology (J.G., C.B., G.S.), Inselspital, University Hospital Bern and University of Bern, Switzerland.
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- Caspar Brekenfeld
- From the Departments of Neurology (U.R., A.B., M.A., K.N., G.M.D.M., L.K., M.-L.M., H.P.M.) and Neuroradiology (J.G., C.B., G.S.), Inselspital, University Hospital Bern and University of Bern, Switzerland.
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- Gerhard Schroth
- From the Departments of Neurology (U.R., A.B., M.A., K.N., G.M.D.M., L.K., M.-L.M., H.P.M.) and Neuroradiology (J.G., C.B., G.S.), Inselspital, University Hospital Bern and University of Bern, Switzerland.
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- Heinrich P. Mattle
- From the Departments of Neurology (U.R., A.B., M.A., K.N., G.M.D.M., L.K., M.-L.M., H.P.M.) and Neuroradiology (J.G., C.B., G.S.), Inselspital, University Hospital Bern and University of Bern, Switzerland.
抄録
<jats:p> <jats:bold> <jats:italic>Background and Purpose—</jats:italic> </jats:bold> The term “minor stroke” is often used; however a consensus definition is lacking. We explored the relationship of 6 “minor stroke” definitions and outcome and tested their validity in subgroups of patients. </jats:p> <jats:p> <jats:bold> <jats:italic>Methods—</jats:italic> </jats:bold> A total of 760 consecutive patients with acute ischemic strokes were classified according to the following definitions: A, score ≤1 on every National Institutes of Health Stroke Scale (NIHSS) item and normal consciousness; B, lacunar-like syndrome; C, motor deficits with or without sensory deficits; D, NIHSS ≤9 excluding those with aphasia, neglect, or decreased consciousness; E, NIHSS ≤9; and F, NIHSS ≤3. Short-term outcome was considered favorable when patients were discharged home, and favorable medium-term outcome was defined as a modified Rankin Scale score of ≤2 at 3 months. The following subgroup analyses were performed by definition: sex, age, anterior versus posterior and right versus left hemispheric stroke, and early (0 to 6 hours) versus late admission (6 to 24 hours) to the hospital. </jats:p> <jats:p> <jats:bold> <jats:italic>Results—</jats:italic> </jats:bold> Short-term and medium-term outcomes were most favorable in patients with definition A (74% and 90%, respectively) and F (71% and 90%, respectively). Patients with definition C and anterior circulation strokes were more likely to be discharged home than patients with posterior circulation strokes ( <jats:italic>P</jats:italic> =0.021). The medium-term outcome of older patients with definition E was less favorable compared with the outcome of younger ones ( <jats:italic>P</jats:italic> =0.001), whereas patients with definition A, D, and F did not show different outcomes in any subgroup. </jats:p> <jats:p> <jats:bold> <jats:italic>Conclusions—</jats:italic> </jats:bold> Patients fulfilling definition A and F had best short-term and medium-term outcomes. They would be best suited to the definition of “minor stroke.” </jats:p>
収録刊行物
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- Stroke
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Stroke 41 (4), 661-666, 2010-04
Ovid Technologies (Wolters Kluwer Health)