Course and Prognosis in Spontaneous Occlusions of Cerebral Arteries

Lindgren, S.

doi:10.1111/j.1600-0447.1958.tb03524.x

Cited by 32 publications

(6 citation statements)

References 13 publications

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“…1 The patients of the present series had either occlusion of the MCA or its branches which was verified by angiography or autopsy. In considering the results we obtained, one should reflect on our method of selecting patients: all patients with ischemic brain infarction admitted to our hospital are not treated in the Department of Neurology; quite often, and especially when they are elderly, they are treated by the Departments of Medicine.…”

Section: Discussionmentioning

confidence: 79%

Prognosis of patients with middle cerebral artery occlusion.

Kaste¹,

Waltimo²

1976

Stroke

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SUMMARY The long-term prognosis of 78 stroke patients with occlusion of the middle cerebral artery (MCA) or its branches is described. The mean age of the patients was 44 years. The mortality rate in the acute phase was 5%. The acute and total mortality rates of men were higher than those of women (p < 0.05). Life-table analysis gave 94% probability for one year's survival, 84% for three years' survival, and 78% for five years' survival. Subsequent strokes were twice as common as cardiovascular events as the cause of death. Seventytwo percent of the survivors became fully independent in activities of daily living (ADL), 27% required assistance, 1% was totally disabled, and 43% returned to work. Left-sided occlusion was overrepresented in those who died (p < 0.001) and those who returned to work (p < 0.05), and right-sided occlusion was overrepresented in those who required assistance in ADL (p < 0.05).

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Section: Discussionmentioning

confidence: 79%

Prognosis of patients with middle cerebral artery occlusion.

Kaste¹,

Waltimo²

1976

Stroke

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“…While the symptoms and signs depend on the affected vascular territory, the site of the infarction will be set by the site of the occlusion versus possible collateral circulation. Gross brain edema, evidenced by a shift of the midline structures, does markedly influence the prognosis of stroke (Lindgren 1958) and may induce continuous rostral-caudal deterioration. The two patients who died from the stroke and seven of the eight patients with persistent and severe deficits had occlusions of the internal carotic artery or of proximal part of the middle cerebral artery.…”

Section: Discijssionmentioning

confidence: 99%

The Prognosis of Ischemic Stroke in Young Adults

Hindfelt

Nilsson

1977

Acta Neurologica Scandinavica

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The report provides prognostic information on 60 patients (aged 16 to 40 years) with ischemic stroke. Immediate mortality from stroke is low and long-term mortality is due to other causes than cerebrovascular disease. The recovery from neurological deficits is good except for patients with occlusions of the internal carotic artery or the proximal parts of the middle cerebral artery. Reinfarction is rare (about 0.5 per cent annually) and other late neurological complications do not seriously affect long-term prognosis. More than 80 per cent of the patients will be able to resume work on a full or part-time basis.

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“…The cause of such a compression might be an edema developing secondary to the vascular lesion. It is known (LINDGREN 1958) that such an edema only gradually develops and it is interesting to note that the increased absorption, appearing in the so called hemorrhagic infarcts, in most of the cases was not found in the acute stage.…”

Section: Discussionmentioning

confidence: 98%

Computer Assisted Axial Tomography in Cerebrovascular Lesions

Cronqvist¹,

Brismar²,

Kjellin³

et al. 1975

Acta Radiologica. Diagnosis

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Computer assisted axial tomography was performed in 32 patients with clinically possible cerebrovascular lesions. Decreased absorption as a sign of infarction was found in 15, increased absorption as a sign of hemorrhage in 7 cases. In another 7 cases, diagnosed as hemorrhagic infarction, a simultaneous occurrence of increased and decreased absorption appeared. Increased absorption might also depend on compression effect of edema. In three cases no abnormal attenuation could be demonstrated. Infarctions could be observed years after the onset of the symptoms; intracerebral hemorrhages regressed slowly.

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Course and Prognosis in Spontaneous Occlusions of Cerebral Arteries

Cited by 32 publications

References 13 publications

Prognosis of patients with middle cerebral artery occlusion.

Prognosis of patients with middle cerebral artery occlusion.

The Prognosis of Ischemic Stroke in Young Adults

Computer Assisted Axial Tomography in Cerebrovascular Lesions

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