Clinical presentation and diffusion weighted MRI of acute cerebral infarction. The Bergen Stroke Study

<p>Abstract</p> <p>Background</p> <p>No large study has compared the yield of diffusion-weighted imaging (DWI) with clinical examination in order to differentiate lacunar stroke from other stroke subtypes. This differentiation is important for guiding further investigat...

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Main Authors: Waje-Andreassen Ulrike, Idicula Titto, Brogger Jan C, Naess Halvor, Moen Gunnar, Thomassen Lars
Format: Article
Language:English
Published: BMC 2009-08-01
Series:BMC Neurology
Online Access:http://www.biomedcentral.com/1471-2377/9/44
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author Waje-Andreassen Ulrike
Idicula Titto
Brogger Jan C
Naess Halvor
Moen Gunnar
Thomassen Lars
author_facet Waje-Andreassen Ulrike
Idicula Titto
Brogger Jan C
Naess Halvor
Moen Gunnar
Thomassen Lars
author_sort Waje-Andreassen Ulrike
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>No large study has compared the yield of diffusion-weighted imaging (DWI) with clinical examination in order to differentiate lacunar stroke from other stroke subtypes. This differentiation is important for guiding further investigations and treatment.</p> <p>Methods</p> <p>Consecutive patients admitted with cerebral infarction were classified according to the Oxfordshire Community Stroke Project scale. Based on DWI and CT stroke was classified as lacunar (LI) and non-lacunar (NLI). Acute ischemic lesion <1.5 cm and located in subcortex or in brainstem were classified as LI. All other infarctions were classified as NLI.</p> <p>Results</p> <p>DWI was performed in 419 (69%) patients. Among patients with lacunar syndrome (LACS) 45 (40.5%) had NLI on DWI. All patients with total anterior syndrome (TACS) and 144 (88.3%) with partial anterior syndrome (PACS) had NLI on DWI.</p> <p>Conclusion</p> <p>DWI is important among patients presenting with clinical symptoms suggestive of lacunar syndrome to differentiate between LI and NLI. On the other hand, there is good correspondence between TACS or PACS and NLI on DWI.</p>
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spelling doaj.art-bed337d9a90d4d71a2f9b0150f0f6d642022-12-21T20:55:50ZengBMCBMC Neurology1471-23772009-08-01914410.1186/1471-2377-9-44Clinical presentation and diffusion weighted MRI of acute cerebral infarction. The Bergen Stroke StudyWaje-Andreassen UlrikeIdicula TittoBrogger Jan CNaess HalvorMoen GunnarThomassen Lars<p>Abstract</p> <p>Background</p> <p>No large study has compared the yield of diffusion-weighted imaging (DWI) with clinical examination in order to differentiate lacunar stroke from other stroke subtypes. This differentiation is important for guiding further investigations and treatment.</p> <p>Methods</p> <p>Consecutive patients admitted with cerebral infarction were classified according to the Oxfordshire Community Stroke Project scale. Based on DWI and CT stroke was classified as lacunar (LI) and non-lacunar (NLI). Acute ischemic lesion <1.5 cm and located in subcortex or in brainstem were classified as LI. All other infarctions were classified as NLI.</p> <p>Results</p> <p>DWI was performed in 419 (69%) patients. Among patients with lacunar syndrome (LACS) 45 (40.5%) had NLI on DWI. All patients with total anterior syndrome (TACS) and 144 (88.3%) with partial anterior syndrome (PACS) had NLI on DWI.</p> <p>Conclusion</p> <p>DWI is important among patients presenting with clinical symptoms suggestive of lacunar syndrome to differentiate between LI and NLI. On the other hand, there is good correspondence between TACS or PACS and NLI on DWI.</p>http://www.biomedcentral.com/1471-2377/9/44
spellingShingle Waje-Andreassen Ulrike
Idicula Titto
Brogger Jan C
Naess Halvor
Moen Gunnar
Thomassen Lars
Clinical presentation and diffusion weighted MRI of acute cerebral infarction. The Bergen Stroke Study
BMC Neurology
title Clinical presentation and diffusion weighted MRI of acute cerebral infarction. The Bergen Stroke Study
title_full Clinical presentation and diffusion weighted MRI of acute cerebral infarction. The Bergen Stroke Study
title_fullStr Clinical presentation and diffusion weighted MRI of acute cerebral infarction. The Bergen Stroke Study
title_full_unstemmed Clinical presentation and diffusion weighted MRI of acute cerebral infarction. The Bergen Stroke Study
title_short Clinical presentation and diffusion weighted MRI of acute cerebral infarction. The Bergen Stroke Study
title_sort clinical presentation and diffusion weighted mri of acute cerebral infarction the bergen stroke study
url http://www.biomedcentral.com/1471-2377/9/44
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