Clinical history and outcome of cardiogenic embolism in the middle cerebral artery horizontal portion by non-thrombolytic therapy

DOI 17 References
  • Abe Masato
    Department of Strokology, Akita Research Institute of Brain and Blood Vessels Department of Psychiatry, Akita University School of Medicine
  • Kawamura Shingo
    Department of Strokology, Akita Research Institute of Brain and Blood Vessels Department of Surgical Neurology, Yonaizawa Public Hospital
  • Nagata Ken
    Department of Strokology, Akita Research Institute of Brain and Blood Vessels
  • Suzuki Akifumi
    Department of Strokology, Akita Research Institute of Brain and Blood Vessels
  • Nagata Tomoyuki
    Department of Strokology, Akita Research Institute of Brain and Blood Vessels Department of Neurology, Iizuka Hospital

Bibliographic Information

Other Title
  • 心原性塞栓による中大脳動脈水平部閉塞症例における血栓溶解療法非施行例の臨床経過と転帰　　中大脳動脈閉塞症例―血栓溶解療法非施行例―の臨床経過と転帰

Search this article

Abstract

To elucidate the clinical course and outcome of embolic occlusion in the middle cerebral artery (MCA) by non-thrombolytic therapy, we analyzed the neuroradiological and demographic data of 32 cases with cardiogenic embolic occlusion of the MCA horizontal portion who were admitted within 4 days of onset. In terms of their final outcome, 2 cases were designated as good recovery (GR), 15 cases as moderate disability (MD), 12 cases as severe disability (SD), 1 case as vegetative state the (VS) and 2 cases died (DD). Reopening of the occluded vessel was observed in 19 of the 32 cases within 30 days of onset. Twelve of the 19 cases with reopening were regarded as GR or MD, whereas 5 of the 13 cases without reopening were regarded as SD, VS or DD. There was a tendency whereby the greater the infarct volume calculated from CT images, the worse was the final outcome. As regards the sites of occlusion, GR or MD was seen in 66.7% of cases at the distal portion of the MCA horizontal portion, 50% of cases at the central portion, and 33.3% of cases at the proximal portion.

Journal

References(17)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top