Recorrência nos diferentes subtipos de acidente vascular cerebral isquêmico. A importância da doença intracraniana.

Translated title of the contribution: Stroke recurrence in the different subtypes of ischemic stroke. The importance of the intracranial disease

Marcos C. Lange, Gustavo Ribas, Valeria Scavasine, Renata Dal Prá Ducci, Danielle C. Mendes, Viviane de Hiroki Flumignan Zétola, Norberto Cabral, Tatjana Rundek

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

The aim of the study was to analyze the long-term recurrence rate in patients with a first-ever ischemic stroke secondary to intracranial large artery atherosclerosis (LAA) in a Brazilian population. Methods: All stroke patients admitted to the hospital between October 2012 and September 2015 were evaluated. The stroke mechanism subtypes were classified as cardioembolism, LAA, small-vessel occlusion, other determined etiologies, and stroke of undetermined etiology. Results: The 359 first-ever ischemic stroke patients were followed up for a mean time of 21.6 ± 15.1 months. The LAA intracranial (38.9%) and extracranial (24.6%) stroke patients presented with a higher stroke recurrence. Intracranial LAA [HR, 10.2 (3.6–29.1); p < 0.001] and extracranial LAA [HR, 5.05 (1.79–14.2); p = 0.002] were the only conditions to show positive correlation with the recurrence rate, after adjusting for risk factors, thrombolysis, and National Institutes of Health Stroke Scale score at admission. Conclusion: Intracranial LAA presents a higher incidence of recurrence of ischemic stroke when compared with other etiologies in a Southern Brazilian population.

Translated title of the contributionStroke recurrence in the different subtypes of ischemic stroke. The importance of the intracranial disease
Original languagePortuguese
Pages (from-to)649-653
Number of pages5
JournalArquivos de Neuro-Psiquiatria
Volume76
Issue number10
DOIs
StatePublished - Oct 1 2018

Keywords

  • Atherosclerosis
  • Recurrence
  • Risk factors
  • Stroke

ASJC Scopus subject areas

  • Clinical Neurology
  • Biological Psychiatry

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