Difference in recognition of right and left hemispheric stroke

被引：134

作者：

Foerch, C

Misselwitz, B

Sitzer, M

Berger, K

Steinmetz, H

Neumann-Haefelin, T

机构：

[1] Goethe Univ Frankfurt, Dept Neurol, D-60528 Frankfurt, Germany

[2] Geschaeftsstelle Qual Sicherung Hessen, Eschborn, Germany

[3] Univ Munster, Inst Epidemiol & Social Med, Munster, Germany

来源：

LANCET | 2005年 / 366卷 / 9483期

关键词：

D O I：

10.1016/S0140-6736(05)67024-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Symptoms of cerebrovascular events differ depending on the hemisphere in which the lesion arises, thereby affecting disease recognition and management. We aimed to establish whether left and right hemispheric strokes are unequally distributed in inpatients. We obtained data from a large hospital-based stroke registry in Germany. 11 328 patients (56%) had left hemispheric events and 8769 (44%) had right-sided lesions (p<0.0001). Age, stroke severity, and time from symptom onset to admission were significantly associated with left hemispheric stroke, suggesting a selection effect. Difficulties in recognition of symptoms due to right hemispheric stroke challenge efforts to optimise stroke management, particularly in the critical early hours of stroke.

引用

页码：392 / 393

页数：2

共 7 条

[1] CLASSIFICATION OF SUBTYPE OF ACUTE ISCHEMIC STROKE - DEFINITIONS FOR USE IN A MULTICENTER CLINICAL-TRIAL [J].

ADAMS, HP ;

BENDIXEN, BH ;

KAPPELLE, LJ ;

BILLER, J ;

LOVE, BB ;

GORDON, DL ;

MARSH, EE ;

KASE, CS ;

WOLF, PA ;

BABIKIAN, VL ;

LICATAGEHR, EE ;

ALLEN, N ;

BRASS, LM ;

FAYAD, PB ;

PAVALKIS, FJ ;

WEINBERGER, JM ;

TUHRIM, S ;

RUDOLPH, SH ;

HOROWITZ, DR ;

BITTON, A ;

MOHR, JP ;

SACCO, RL ;

CLAVIJO, M ;

ROSENBAUM, DM ;

SPARR, SA ;

KATZ, P ;

KLONOWSKI, E ;

CULEBRAS, A ;

CAREY, G ;

MARTIR, NI ;

FICARRA, C ;

HOGAN, EL ;

CARTER, T ;

GURECKI, P ;

MUNTZ, BK ;

RAMIREZLASSEPAS, M ;

TULLOCH, JW ;

QUINONES, MR ;

MENDEZ, M ;

ZHANG, SM ;

ALA, T ;

JOHNSTON, KC ;

ANDERSON, DC ;

TARREL, RM ;

NANCE, MA ;

BUDLIE, SR ;

DIERICH, M ;

HELGASON, CM ;

HIER, DB ;

SHAPIRO, RA .

STROKE, 1993, 24 (01) :35-41

[2] Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis [J].

Barnett, HJM ;

Taylor, W ;

Eliasziw, M ;

Fox, AJ ;

Ferguson, GG ;

Haynes, RB ;

Rankin, RN ;

Clagett, GP ;

Hachinski, VC ;

Sackett, DL ;

Thorpe, KE ;

Meldrum, HE ;

Spence, JD .

NEW ENGLAND JOURNAL OF MEDICINE, 1998, 339 (20) :1415-1425

[3] BASE-LINE SILENT CEREBRAL INFARCTION IN THE ASYMPTOMATIC CAROTID ATHEROSCLEROSIS STUDY [J].

BROTT, T ;

TOMSICK, T ;

FEINBERG, W ;

JOHNSON, C ;

BILLER, J ;

BRODERICK, J ;

KELLY, M ;

FREY, J ;

SCHWARTZ, S ;

BLUM, C ;

NELSON, JJ ;

CHAMBLESS, L ;

TOOLE, J ;

SEEGER, J ;

BRUCK, D ;

VOLD, B ;

LAGUNA, J ;

CHESSER, M ;

ARCHER, L ;

NICKOLS, JR ;

MACDONALD, C ;

HODAK, J ;

FLOM, R ;

HUNSLEY, S ;

JAHNKE, H ;

LEFKOWITZ, D ;

SATTERFIELD, J ;

COHEN, S ;

JACOBS, B ;

HOLGATE, R ;

JOABOUR, B ;

WALDEN, K ;

VESCERA, C ;

BERNSTEIN, R ;

RADOSEVICH, P ;

MCCORMICK, P ;

ELIAS, L ;

FURLAN, A ;

BRYERTON, B ;

SAUERBECK, S ;

MOHR, JP ;

PETTY, G ;

LIBMAN, R ;

MARSHALL, R ;

CRUZ, A ;

GONZALEZ, T ;

CABRERA, A ;

EARLY, C ;

STONE, B ;

MAGUIRE, MP .

STROKE, 1994, 25 (06) :1122-1129

[4] Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European carotid surgery trial (ECST) [J].

Farrell, B ;

Fraser, A ;

Sandercock, P ;

Slattery, J ;

Warlow, CP .

LANCET, 1998, 351 (9113) :1379-1387

[5] Is there a side predilection for cerebrovascular disease? [J].

Hernández, SAR ;

Kroon, AA ;

van Boxtel, MPJ ;

Mess, WH ;

Lodder, J ;

Jolles, J ;

de Leeuw, PW .

HYPERTENSION, 2003, 42 (01) :56-60

[6]

vanLatum JC, 1996, NEUROLOGY, V46, P159

[7] Does the National Institutes of Health Stroke Scale favor left hemisphere strokes? [J].

Woo, D ;

Broderick, JP ;

Kothari, RU ;

Lu, M ;

Brott, T ;

Lyden, PD ;

Marler, JR ;

Grotta, JC .

STROKE, 1999, 30 (11) :2355-2359

← 1 →