A Novel Neuroimaging Model to Predict Early Neurological Deterioration After Acute Ischemic Stroke.

ABSTRACT:

Objective

In acute ischemic stroke, early neurological deterioration (END) may occur in up to one-third of patients. However, there is still no satisfying or comprehensive predictive model for all the stroke subtypes. We propose a practical model to predict END using magnetic resonance imaging (MRI).

Method

Patients with anterior circulation infarct were recruited and they underwent an MRI within 24 hours of stroke onset. END was defined as an elevation of ≥2 points on the National Institute of Health Stroke Scale (NIHSS) within 72 hours of stroke onset. We examined the relationships of END to individual END models, including: A, infarct swelling; B, small subcortical infarct; C, mismatch; and D, recurrence.

Results

There were 163 patients recruited and 43 (26.4%) of

SUBMITTER: Huang YC 

PROVIDER: S-EPMC6350204 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature