作者
Mirjam R Heldner, Christoph Zubler, Heinrich P Mattle, Gerhard Schroth, Anja Weck, Marie-Luise Mono, Jan Gralla, Simon Jung, Marwan El-Koussy, Rudolf Lüdi, Xin Yan, Marcel Arnold, Christoph Ozdoba, Pasquale Mordasini, Urs Fischer
发表日期
2013/4
期刊
Stroke
卷号
44
期号
4
页码范围
1153-1157
出版商
Lippincott Williams & Wilkins
简介
Background and Purpose
There is some controversy on the association of the National Institutes of Health Stroke Scale (NIHSS) score to predict arterial occlusion on MR arteriography and CT arteriography in acute stroke.
Methods
We analyzed NIHSS scores and arteriographic findings in 2152 patients (35.4% women, mean age 66±14 years) with acute anterior or posterior circulation strokes.
Results
The study included 1603 patients examined with MR arteriography and 549 with CT arteriography. Of those, 1043 patients (48.5%; median NIHSS score 5, median time to clinical assessment 179 minutes) showed an occlusion, 887 in the anterior (median NIHSS score 7/0–31), and 156 in the posterior circulation (median NIHSS score 3/0–32). Eight hundred sixty visualized occlusions (82.5%) were located centrally (ie, in the basilar, intracranial vertebral, internal carotid artery, or M1/M2 segment of the middle cerebral …
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MR Heldner, C Zubler, HP Mattle, G Schroth, A Weck… - Stroke, 2013