Клинические Сосудистые Синдромы Таламических Инсультов Передней И Парамедианной Сосудистых Территорий: Проспективное Клиническое Когортное Исследование

Abstract

Background. The article covers pathophysiological features and patterns of the occurrence of neurological, neuropsychological, and clinical vascular syndromes of thalamic strokes in anterior and paramedian vascular territories. The features of neurological clinical picture, topical, and neuroimaging diagnosis of thalamic strokes in anterior and paramedian vascular territories are analyzed and described. We purposed to describe and analyze the clinical and neuroimaging features of vascular syndromes of thalamic strokes in anterior and paramedian vascular territories in a prospective hospital-based cohort study. Materials and methods. We have prospectively recruited 319 acute stroke patients, admitted within 24 hours from the onset of the stroke symptoms to the Neurological Center at an academic hospital (Oleksandrivska Clinical Hospital) in Kyiv, Ukraine. Comprehensive neurological, clinical, laboratory, ultrasound, and neuroimaging examinations were performed to all patients. Results. MRI/CT-proven thalamic stroke was diagnosed in 34 (10.6 %) of 319 patients, forming a study group. Twenty-two of 34 patients (average age 61.9 ± 10.2 years) were diagnosed with an acute isolated ischemic thalamic infarction, and 12 patients (average age 59.0 ± 9.6 years) were diagnosed with an acute thalamic hemorrhage. Conclusions. Specific neurological features of clinical vascular syndromes of acute thalamic strokes in anterior and paramedian vascular territories were analyzed, compared, and described.