Hyperacute extensive middle cerebral artery territory infarcts. Role of computed tomography in predicting outcome.

Abstract:

OBJECTIVE:To assess the prognostic value of computed tomography (CT) in hyperacute middle cerebral artery (MCA) infarcts. METHODS:The CT features, total CT score, and National Institutes of Health Stroke Scale (NIHSS) score were correlated with the 30-day mortality in 16 patients with a hyperacute MCA infarct. RESULTS:Admission NIHSS scores were significantly lower in the survival group (P = 0.016). The extent of infarct, attenuation of corticomedullary differentiation, and total CT score were associated with 30-day mortality (P < 0.05). In prediction of mortality, extent of an infarct > 67% gave sensitivity, specificity, positive predictive value, and negative predictive value rates of 86%, 100%, 100%, and 90%, respectively. Attenuation of corticomedullary differentiation gave sensitivity, specificity, positive predictive value, and negative predictive value rates of 86%, 89%, 86%, and 89%, respectively. An NIHSS score > 28 gave sensitivity, specificity, positive predictive value, and negative predictive value rates of 86%, 67%, 67%, and 86%, respectively. A CT score > 4 gave sensitivity, specificity, positive predictive value, and negative predictive value rates of 86%, 78%, 75%, and 88%, respectively. CONCLUSIONS:Computed tomography features and the admission NIHSS score are important predictors of survival in hyperacute extensive MCA infarcts.

journal_name

J Comput Assist Tomogr

authors

Lam WW,Leung TW,Chu WC,Yeung DT,Wong LK

doi

10.1097/01.rct.0000136456.25506.c3

keywords:

subject

Has Abstract

pub_date

2004-09-01 00:00:00

pages

650-3

issue

5

eissn

0363-8715

issn

1532-3145

pii

00004728-200409000-00012

journal_volume

28

pub_type

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