Sensory symptoms and signs and results of quantitative sensory thermal testing in patients with lacunar infarct syndromes.

Abstract:

BACKGROUND AND PURPOSE:Quantitative data on sensory impairment in stroke patients are limited. We measured the perception thresholds for temperature and thermal pain in patients with different lacunar syndromes, correlated the results with clinical and magnetic resonance imaging (MRI) findings, and studied the long-term prognosis of sensory dysfunction. METHODS:Quantitative thermal testing was performed by means of the Marstock method in 39 patients with lacunar syndromes (pure motor, sensorimotor, or pure sensory stroke) and MRI findings compatible with occlusion of a single perforating artery. Thresholds for cold, warmth, and heat pain were obtained bilaterally from the cheek, hand, and leg. The unaffected side was used as control. Follow-up included clinical assessments and repeated quantitative thermal testing (in 17 patients) up to 1 year after stroke onset. RESULTS:Patients with pure sensory stroke and sensorimotor stroke (n = 22) had a significant thermal hypoesthesia on the affected side for all modalities and test locations. Patients with pure motor stroke (n = 17) exhibited thermal hypoesthesia for cold and heat pain in the hand and for cold perception in the leg. On MRI, infarcts causing pure motor and sensorimotor stroke were predominantly lenticulocapsular, while a thalamic site of infarction was found in pure sensory stroke. The prognosis of sensory impairment was favorable, except for poststroke pain syndromes in three patients. CONCLUSIONS:Quantitative thermal testing confirmed an involvement of spinothalamic pathways in lacunar infarcts causing pure sensory and sensorimotor stroke and revealed a subclinical sensory impairment in patients with pure motor stroke. Infarction sites were similar in patients with pure motor and sensorimotor stroke.

journal_name

Stroke

journal_title

Stroke

authors

Samuelsson M,Samuelsson L,Lindell D

doi

10.1161/01.str.25.11.2165

subject

Has Abstract

pub_date

1994-11-01 00:00:00

pages

2165-70

issue

11

eissn

0039-2499

issn

1524-4628

journal_volume

25

pub_type

杂志文章

相关文献

STROKE文献大全
  • Potential and limitations of transcranial color-coded sonography in stroke patients.

    abstract:BACKGROUND AND PURPOSE:Transcranial color-coded duplex sonography (TCCS) enables visualization of the intracranial parenchymal structures and measurement of blood flow velocity in the basal cerebral arteries. The present study aims to evaluate prospectively the clinical usefulness of TCCS in patients with acute stroke....

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.26.11.2061

    authors: Seidel G,Kaps M,Gerriets T

    更新日期:1995-11-01 00:00:00

  • Photothrombotic middle cerebral artery occlusion and reperfusion laser system in spontaneously hypertensive rats.

    abstract:BACKGROUND AND PURPOSE:To establish a less invasive and reproducible focal ischemia model in the rat, we adopted a 2-laser system (ie, photothrombosis and YAG laser-induced reperfusion). METHODS:The distal middle cerebral artery (MCA) of spontaneously hypertensive rats was occluded by 568-nm krypton laser and intraven...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000094730.38343.73

    authors: Yao H,Sugimori H,Fukuda K,Takada J,Ooboshi H,Kitazono T,Ibayashi S,Iida M

    更新日期:2003-11-01 00:00:00

  • A new method for quantitative regional cerebral blood volume measurements using computed tomography.

    abstract:BACKGROUND AND PURPOSE:Knowledge of cerebral blood volume (CBV) is invaluable in identifying the primary cause of brain swelling in patients with stroke or severe head injury, and it might also help in clinical decision making in patients thought to have hemodynamic transient ischemic attacks (TIAs). This investigation...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.28.10.1998

    authors: Muizelaar JP,Fatouros PP,Schröder ML

    更新日期:1997-10-01 00:00:00

  • Changes in stroke mortality rates for 1950 to 1997: a great slowdown of decline trend in Japan.

    abstract:BACKGROUND AND PURPOSE:Stroke is the second leading cause of death in Japan. We sought to examine changes in stroke mortality rates by age, sex, and birth cohorts from 1950 to 1997. METHODS:The numbers of deaths from stroke and the population by age and sex in subjects aged 55 to 79 years between 1950 and 1997 were ob...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.32.8.1745

    authors: Liu L,Ikeda K,Yamori Y

    更新日期:2001-08-01 00:00:00

  • Genome-Wide Association Analysis of Young-Onset Stroke Identifies a Locus on Chromosome 10q25 Near HABP2.

    abstract:BACKGROUND AND PURPOSE:Although a genetic contribution to ischemic stroke is well recognized, only a handful of stroke loci have been identified by large-scale genetic association studies to date. Hypothesizing that genetic effects might be stronger for early- versus late-onset stroke, we conducted a 2-stage meta-analy...

    journal_title:Stroke

    pub_type: 杂志文章,meta分析

    doi:10.1161/STROKEAHA.115.011328

    authors: Cheng YC,Stanne TM,Giese AK,Ho WK,Traylor M,Amouyel P,Holliday EG,Malik R,Xu H,Kittner SJ,Cole JW,O'Connell JR,Danesh J,Rasheed A,Zhao W,Engelter S,Grond-Ginsbach C,Kamatani Y,Lathrop M,Leys D,Thijs V,Metso TM,

    更新日期:2016-02-01 00:00:00

  • Incidence and causes of strokes associated with pregnancy and puerperium. A study in public hospitals of Ile de France. Stroke in Pregnancy Study Group.

    abstract:BACKGROUND AND PURPOSE:The incidence, causes, and prognosis of nonhemorrhagic strokes and intraparenchymal hemorrhages occurring in association with pregnancy or puerperium are poorly understood. METHODS:We carried out a retrospective (1989 through 1991) and prospective (1992) study in 63 public maternities (348,295 d...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.26.6.930

    authors: Sharshar T,Lamy C,Mas JL

    更新日期:1995-06-01 00:00:00

  • Measurement of vasomotor reserve in the transcranial Doppler-CO(2) test using an ultrasound contrast agent (Levovist).

    abstract:BACKGROUND AND PURPOSE:Determination of vasomotor reserve (VMR) with the transcranial Doppler-CO(2) (TCD-CO(2)) test is used to assess the risk of impending cerebral ischemia in patients with high-grade stenosis or occlusion of the internal carotid artery. In patients with a poor temporal window, however, this examinat...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.str.32.6.1298

    authors: Rohrberg M,Brodhun R

    更新日期:2001-06-01 00:00:00

  • Long-term risk of recurrent stroke after a first-ever stroke. The Oxfordshire Community Stroke Project.

    abstract:BACKGROUND AND PURPOSE:There have been few community-based studies of long-term prognosis after acute stroke. This study aims to provide precise estimates of the absolute and relative risks of stroke recurrence in an unselected cohort of patients with a first-ever stroke. METHODS:Six hundred seventy-five patients were...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.25.2.333

    authors: Burn J,Dennis M,Bamford J,Sandercock P,Wade D,Warlow C

    更新日期:1994-02-01 00:00:00

  • Retrobulbar Spot Sign Predicts Thrombolytic Treatment Effects and Etiology in Central Retinal Artery Occlusion.

    abstract:BACKGROUND AND PURPOSE:Transorbital sonography may help establish diagnosis of central retinal artery occlusion (CRAO). Next to Doppler sonographic proof of CRAO, an intra-arterial spot sign can be detected in some cases. We hypothesized that it reflects calcified components. It may be associated with embolization from...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.115.009839

    authors: Nedelmann M,Graef M,Weinand F,Wassill KH,Kaps M,Lorenz B,Tanislav C

    更新日期:2015-08-01 00:00:00

  • Stent placement in acute cerebral artery occlusion: use of a self-expandable intracranial stent for acute stroke treatment.

    abstract:BACKGROUND AND PURPOSE:Stent placement has been applied in small case series as a rescue therapy in combination with different thrombolytic agents, percutaneous balloon angioplasty (PTA), and mechanical thromboembolectomy (MT) in acute stroke treatment. These studies report a considerable mortality and a high rate of i...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.108.533810

    authors: Brekenfeld C,Schroth G,Mattle HP,Do DD,Remonda L,Mordasini P,Arnold M,Nedeltchev K,Meier N,Gralla J

    更新日期:2009-03-01 00:00:00

  • Autonomic ganglionic blockade does not prevent reduction in cerebral blood flow velocity during orthostasis in humans.

    abstract:BACKGROUND AND PURPOSE:The underlying mechanisms for reductions in cerebral blood flow (CBF) during orthostasis are not completely understood. This study tested the hypothesis that sympathetic activation causes cerebral vasoconstriction leading to reductions in CBF during lower body negative pressure (LBNP). METHODS:C...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.STR.0000260095.94175.d0

    authors: Zhang R,Levine BD

    更新日期:2007-04-01 00:00:00

  • Stent-assisted coiling of intracranial aneurysms: clinical and angiographic results in 216 consecutive aneurysms.

    abstract:BACKGROUND AND PURPOSE:Stent-assisted coiling has expanded the treatment of intracranial aneurysms, but the rates of procedure-related neurological complications and the incidence of angiographic aneurysm recurrence of this novel treatment are not yet well known. We present our experience with stent-assisted coiling wi...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.109.558114

    authors: Piotin M,Blanc R,Spelle L,Mounayer C,Piantino R,Schmidt PJ,Moret J

    更新日期:2010-01-01 00:00:00

  • Genetic Imbalance Is Associated With Functional Outcome After Ischemic Stroke.

    abstract::Background and Purpose- We sought to explore the effect of genetic imbalance on functional outcome after ischemic stroke (IS). Methods- Copy number variation was identified in high-density single-nucleotide polymorphism microarray data of IS patients from the CADISP (Cervical Artery Dissection and Ischemic Stroke Pati...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.118.021856

    authors: Pfeiffer D,Chen B,Schlicht K,Ginsbach P,Abboud S,Bersano A,Bevan S,Brandt T,Caso V,Debette S,Erhart P,Freitag-Wolf S,Giacalone G,Grau AJ,Hayani E,Jern C,Jiménez-Conde J,Kloss M,Krawczak M,Lee JM,Lemmens R,Leys D

    更新日期:2019-02-01 00:00:00

  • Lipoprotein-associated phospholipase A2 and C-reactive protein for risk-stratification of patients with TIA.

    abstract:BACKGROUND AND PURPOSE:Lipoprotein-associated phospholipase A(2) (Lp-PLA(2)) is a marker of unstable atherosclerotic plaque, and is predictive of both primary and secondary stroke in population-based studies. METHODS:We conducted a prospective study of patients with acute TIA who presented to the ED. Clinical risk sco...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.109.553545

    authors: Cucchiara BL,Messe SR,Sansing L,MacKenzie L,Taylor RA,Pacelli J,Shah Q,Kasner SE

    更新日期:2009-07-01 00:00:00

  • Flow-related anaerobic metabolic changes in patients with severe stenosis of the internal carotid artery.

    abstract:BACKGROUND AND PURPOSE:We sought to investigate whether the combination of blood flow measurements in the major cerebral arteries and measurements of cerebral metabolism can provide new insight into the hemodynamic effect of carotid lesions in patients with severe stenosis (> 70% reduction in diameter) of the internal ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.27.11.2026

    authors: van der Grond J,Eikelboom BC,Mali WP

    更新日期:1996-11-01 00:00:00

  • Molecular basis for the inhibition of prostanoid biosynthesis by nonsteroidal anti-inflammatory agents.

    abstract::Many nonsteroidal anti-inflammatory drugs exert their effects by inhibiting the synthesis of prostanoids. More specifically, these agents block the synthesis of prostaglandin endoperoxide G2 from arachidonic acid by competing with arachidonate for binding to the cyclooxygenase active site of prostaglandin endoperoxide...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:

    authors: Smith WL,DeWitt DL,Shimokawa T,Kraemer SA,Meade EA

    更新日期:1990-12-01 00:00:00

  • Younger Age and Depressive Symptoms Predict High Risk of Generalized Anxiety After Stroke and Transient Ischemic Attack.

    abstract::Background and Purpose- Depression and anxiety are common after stroke/transient ischemic attack (TIA). These conditions are associated with poor functional outcome and worse quality of life. However, few studies have explored predictors of poststroke risk of generalized anxiety, especially in patients without comorbi...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.119.025464

    authors: Kapoor A,Si K,Yu AYX,Lanctot KL,Herrmann N,Murray BJ,Swartz RH

    更新日期:2019-09-01 00:00:00

  • Prognostic value and determinants of first-day mean arterial pressure in spontaneous supratentorial intracerebral hemorrhage.

    abstract:BACKGROUND AND PURPOSE:The onset of spontaneous intracerebral hemorrhage (ICH) is often accompanied by transient blood pressure (BP) elevation. The prognostic value and the determinants of this BP reaction have not entirely been solved, and the present study was focused on these questions. METHODS:From 1985 to 1991 in...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.28.7.1396

    authors: Fogelholm R,Avikainen S,Murros K

    更新日期:1997-07-01 00:00:00

  • The Virtual International Stroke Trials Archive.

    abstract:BACKGROUND AND PURPOSE:Stroke has global importance and it causes an increasing amount of human suffering and economic burden, but its management is far from optimal. The unsuccessful outcome of several research programs highlights the need for reliable data on which to plan future clinical trials. The Virtual Internat...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.106.473579

    authors: Ali M,Bath PM,Curram J,Davis SM,Diener HC,Donnan GA,Fisher M,Gregson BA,Grotta J,Hacke W,Hennerici MG,Hommel M,Kaste M,Marler JR,Sacco RL,Teal P,Wahlgren NG,Warach S,Weir CJ,Lees KR

    更新日期:2007-06-01 00:00:00

  • Comparative Effectiveness of Rivaroxaban, Apixaban, and Warfarin in Atrial Fibrillation Patients With Polypharmacy.

    abstract:BACKGROUND AND PURPOSE:Comparative effectiveness and safety of oral anticoagulants in patients with atrial fibrillation and high polypharmacy are unknown. METHODS:We used Medicare administrative data to evaluate patients with new atrial fibrillation diagnosis from 2015 to 2017, who initiated an oral anticoagulant with...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.120.029541

    authors: Mentias A,Heller E,Vaughan Sarrazin M

    更新日期:2020-07-01 00:00:00

  • Concurrent validity and reliability of retrospective scoring of the Pediatric National Institutes of Health Stroke Scale.

    abstract:BACKGROUND AND PURPOSE:The Pediatric National Institutes of Health Stroke Scale (PedNIHSS), an adaptation of the adult National Institutes of Health Stroke Scale, is a quantitative measure of stroke severity shown to be reliable when scored prospectively. The ability to calculate the PedNIHSS score retrospectively woul...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/STROKEAHA.111.633305

    authors: Beslow LA,Kasner SE,Smith SE,Mullen MT,Kirschen MP,Bastian RA,Dowling MM,Lo W,Jordan LC,Bernard TJ,Friedman N,DeVeber G,Kirton A,Abraham L,Licht DJ,Jawad AF,Ellenberg JH,Lautenbach E,Ichord RN

    更新日期:2012-02-01 00:00:00

  • Cost of illness in subarachnoid hemorrhage: a German longitudinal study.

    abstract:BACKGROUND AND PURPOSE:Aneurysmal subarachnoid hemorrhage (SAH) is a cerebrovascular disease with a high mortality rate and severe disability. Longitudinal studies investigating health-economic costs in SAH are scare and only one of them analyzed cost-driving factors. The objective was to evaluate first-year costs in G...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.110.586826

    authors: Dodel R,Winter Y,Ringel F,Spottke A,Gharevi N,Müller I,Klockgether T,Schramm J,Urbach H,Meyer B

    更新日期:2010-12-01 00:00:00

  • Infrequency of blacks among patients having carotid endarterectomy.

    abstract::We reviewed demographic data on patients having 2,256 carotid endarterectomies in eight large hospitals in North Carolina to determine the frequency of blacks among these patients. Blacks comprised only 4.6% of the patients having carotid endarterectomy even though they comprised 26% of all patients discharged and 22%...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.20.1.22

    authors: Maxwell JG,Rutherford EJ,Covington D,Clancy TV,Tackett AD,Robinson N,Johnson G Jr

    更新日期:1989-01-01 00:00:00

  • Early NT-ProBNP (N-Terminal Probrain Natriuretic Peptide) Elevation Predicts Malignant Edema and Death After Reperfusion Therapy in Acute Ischemic Stroke Patients.

    abstract:BACKGROUND AND PURPOSE:We aimed to investigate the relationship between early NT-proBNP (N-terminal probrain natriuretic peptide) and all-cause death in patients receiving reperfusion therapy, including intravenous thrombolysis and endovascular thrombectomy (EVT). METHODS:This study included 1039 acute ischemic stroke...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.120.029593

    authors: Zhang X,Yan S,Zhong W,Yu Y,Lou M

    更新日期:2021-01-01 00:00:00

  • Distribution of Chlamydia pneumoniae infection in the athersclerotic carotid artery.

    abstract:BACKGROUND AND PURPOSE:Chlamydia pneumoniae infection has recently become noteworthy in relation to atherosclerosis. We investigated by immunohistochemistry the distribution of C pneumoniae infection in the atherosclerotic carotid artery. METHODS:Twenty carotid atherosclerotic lesions that were resected during carotid...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.str.29.4.773

    authors: Yamashita K,Ouchi K,Shirai M,Gondo T,Nakazawa T,Ito H

    更新日期:1998-04-01 00:00:00

  • The influence of depression, social activity, and family stress on functional outcome after stroke.

    abstract:BACKGROUND AND PURPOSE:This study was designed to assess the quality of life after an active poststroke period of rehabilitation and to investigate the possibility of a return to a working environment for those still of working age. METHODS:The study was conducted on 180 consecutive patients affected by stroke who wer...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.24.10.1478

    authors: Angeleri F,Angeleri VA,Foschi N,Giaquinto S,Nolfe G

    更新日期:1993-10-01 00:00:00

  • Desirable Low-Density Lipoprotein Cholesterol Levels for Preventing Stroke Recurrence: A Post Hoc Analysis of the J-STARS Study (Japan Statin Treatment Against Recurrent Stroke).

    abstract:BACKGROUND AND PURPOSE:To define desirable target low-density lipoprotein (LDL) cholesterol levels for the prevention of stroke recurrence, a post hoc analysis was performed in the J-STARS study (Japan Statin Treatment Against Recurrent Stroke). METHODS:Subjects (n=1578) were divided into groups based on mean value of...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.117.018870

    authors: Hosomi N,Kitagawa K,Nagai Y,Nakagawa Y,Aoki S,Nezu T,Kagimura T,Maruyama H,Origasa H,Minematsu K,Uchiyama S,Matsumoto M,J-STARS Collaborators.

    更新日期:2018-04-01 00:00:00

  • The ALIAS Pilot Trial: a dose-escalation and safety study of albumin therapy for acute ischemic stroke--II: neurologic outcome and efficacy analysis.

    abstract:BACKGROUND AND PURPOSE:High-dose human albumin (ALB) is robustly neuroprotective in rodent stroke models. A phase I dose-escalation study was conducted to assess the safety of ALB therapy in ischemic stroke. We analyzed the data for preliminary evidence of treatment efficacy. METHODS:Eighty-two subjects with acute isc...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000231389.34701.b5

    authors: Palesch YY,Hill MD,Ryckborst KJ,Tamariz D,Ginsberg MD

    更新日期:2006-08-01 00:00:00

  • Cardiac arrhythmias in acute stroke.

    abstract::Cardiac arrhythmias were more frequent (p less than 0.001) in 312 stroke patients admitted to an intensive care stroke unit, than in 92 patients admitted to the unit and subsequently found not to have strokes. This significant difference remained when a stroke subgroup and the non-stroke group were matched for age, se...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.9.4.392

    authors: Norris JW,Froggatt GM,Hachinski VC

    更新日期:1978-07-01 00:00:00

  • Vessel wall magnetic resonance imaging in acute ischemic stroke: effects of embolism and mechanical thrombectomy on the arterial wall.

    abstract:BACKGROUND AND PURPOSE:The aim of the study was to determine the effects of thromboembolism and mechanical thrombectomy on the vessel wall magnetic resonance imaging (VW-MRI) appearance of the intracranial arterial wall. METHODS:This was a cross-sectional study of consecutive patients with acute intracranial arterial ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.114.005618

    authors: Power S,Matouk C,Casaubon LK,Silver FL,Krings T,Mikulis DJ,Mandell DM

    更新日期:2014-08-01 00:00:00