PROGNOSIS FOR SURVIVAL, HANDICAP AND RECURRENCE OF STROKE IN LACUNAR AND SUPERFICIAL INFARCTION

被引:31
作者
BOITEN, J
LODDER, J
机构
[1] Department of Neurology, University Hospital Maastricht
关键词
LACUNAR INFARCTS; SMALL VESSEL DISEASE; NATURAL HISTORY; SUPERFICIAL INFARCTS;
D O I
10.1159/000108704
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In a prospective study, we compared the prognosis for survival, handicap, and recurrence of stroke in 103 patients with a first-ever lacunar infarct, presumably due to small-vessel obstruction, with that in 94 patients who had a first-ever superficial infarct associated with large-vessel disease. Patients with lacunar infarction had better survival, as shown by Kaplan-Meier analysis, and less disability than patients with superficial infarction, whereas the difference in risk of recurrent infarction was not statistically significant. Six of the 7 (86%) recurrent infarcts in the lacunar infarction group were lacunar again, supporting the hypothesis that lacunar infarcts are usually caused by a local small-vessel obstruction.
引用
收藏
页码:221 / 226
页数:6
相关论文
共 25 条
[1]  
[Anonymous], 1988, Stroke, V19, P512
[2]   THE NATURAL-HISTORY OF LACUNAR INFARCTION - THE OXFORDSHIRE COMMUNITY STROKE PROJECT [J].
BAMFORD, J ;
SANDERCOCK, P ;
JONES, L ;
WARLOW, C .
STROKE, 1987, 18 (03) :545-551
[3]   A PROSPECTIVE-STUDY OF ACUTE CEREBROVASCULAR-DISEASE IN THE COMMUNITY - THE OXFORDSHIRE COMMUNITY STROKE PROJECT 1981-86 .2. INCIDENCE, CASE FATALITY RATES AND OVERALL OUTCOME AT ONE YEAR OF CEREBRAL INFARCTION, PRIMARY INTRACEREBRAL AND SUBARACHNOID HEMORRHAGE [J].
BAMFORD, J ;
SANDERCOCK, P ;
DENNIS, M ;
BURN, J ;
WARLOW, C .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1990, 53 (01) :16-22
[4]   THE LAUSANNE STROKE REGISTRY - ANALYSIS OF 1,000 CONSECUTIVE PATIENTS WITH 1ST STROKE [J].
BOGOUSSLAVSKY, J ;
VANMELLE, G ;
REGLI, F .
STROKE, 1988, 19 (09) :1083-1092
[5]   DISCRETE LESIONS IN THE SENSORIMOTOR CONTROL-SYSTEM - A CLINICAL-TOPOGRAPHICAL STUDY OF LACUNAR INFARCTS [J].
BOITEN, J ;
LODDER, J .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 1991, 105 (02) :150-154
[6]   LARGE STRIATOCAPSULAR INFARCTS - CLINICAL PRESENTATION AND PATHOGENESIS IN COMPARISON WITH LACUNAR AND CORTICAL INFARCTS [J].
BOITEN, J ;
LODDER, J .
ACTA NEUROLOGICA SCANDINAVICA, 1992, 86 (03) :298-303
[7]   LACUNAR INFARCTS - PATHOGENESIS AND VALIDITY OF THE CLINICAL SYNDROMES [J].
BOITEN, J ;
LODDER, J .
STROKE, 1991, 22 (11) :1374-1378
[8]   ISOLATED MONOPARESIS IS USUALLY CAUSED BY SUPERFICIAL INFARCTION [J].
BOITEN, J ;
LODDER, J .
CEREBROVASCULAR DISEASES, 1991, 1 (06) :337-340
[9]   LONG-TERM PROGNOSIS OF PATIENTS WITH LACUNAR SYNDROMES [J].
GANDOLFO, C ;
MORETTI, C ;
DALLAGATA, D ;
PRIMAVERA, A ;
BRUSA, G ;
LOEB, C .
ACTA NEUROLOGICA SCANDINAVICA, 1986, 74 (03) :224-229
[10]  
Gardner M. J., 1989, BRIT MED J