[Prognostic significance of early CT changes in ischemic stroke patients].

Abstract:

:The aim of the study was to establish the prognostic value of early CT findings in predicting the 30-day mortality after stroke, to assess the prevalence of these findings in acute stroke patients, and to examine the correlation between these findings and the clinical status. 134 patients (mean age 67.5 +/- 12.1) with supratentorial ischaemic stroke and CT performed within 12 hours from onset of the symptoms were included into the study. The neurological deficit and consciousness disturbances were assessed by means of Scandinavian Stroke Scale. The 30-day mortality was registered. CT findings were found in 84 (63.7%) patients, including hypodense lesions in 74 (55.5%), mass effect in 55 (41.0%) and hyperdense middle cerebral artery sign in 5 (3.7%) cases. Patients with mass effect had greater neurological deficit on admission (p < 0.0001), more frequently developed disorders consciousness (p = 0.001) and had greater 30-day mortality (p < 0.0001). Patients with hypodense lesions of at least two types presented with greater neurological deficit observed on the second day of hospitalization (p < 0.05) and had also greater 30-day mortality (p = 0.01). On multivariate analysis mass effect seen in early CT, as well as older age and greater neurological deficit appeared to be independent predictors of 30-day mortality.

journal_name

Neurol Neurochir Pol

authors

Szczudlik A,Zwolińska G,Słowik A,Turaj W,Pera J,Urbanik A,Uhl H

subject

Has Abstract

pub_date

2001-07-01 00:00:00

pages

555-67

issue

4

eissn

0028-3843

issn

1897-4260

journal_volume

35

pub_type

杂志文章
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    authors: Wocjan J,Boratyński W,Barszcz S

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  • [Deep brain stimulation in the treatment of torticollis and Meige syndrome].

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    pub_type: 杂志文章

    doi:

    authors: Sasiadek M

    更新日期:1995-03-01 00:00:00

  • [Migraine--considerations on the achievements in medicine].

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    doi:

    authors: Domzał T

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    doi:

    authors: Falck B,Stålberg E,Stålberg S,Aström M

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    doi:

    authors: Wender M,Kabschowa B,Owsianowski M

    更新日期:1976-09-01 00:00:00

  • [Matrix metalloproteinase-9 (MMP-9) activity in cerebrospinal fluid of amyotrophic lateral sclerosis patients].

    abstract::Matrix metalloproteinase-9 (MMP-9) is a member of the family of zinc-dependent endopeptidases that degrade extracellular matrix proteins. It can be activated by serine proteinases or by superoxide radicals. The motor neurons in amyotrophic lateral sclerosis patients express significantly higher levels of MMP-9, sugges...

    journal_title:Neurologia i neurochirurgia polska

    pub_type: 杂志文章

    doi:

    authors: Iłzecka J,Stelmasiak Z,Dobosz B

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  • [Cortico-basal degeneration. Diagnosis and differentiation and the description of the first case in Poland].

    abstract::Idiopathic Parkinson Disease accounts for approximately 75% of all cases of parkinsonism. The described case of Corticobasal Degeneration (CBD), until now not presented in Polish medical literature is a relatively rare example of so-called "parkinson plus" syndrome. The authors present the case of a 56 years old woman...

    journal_title:Neurologia i neurochirurgia polska

    pub_type: 杂志文章

    doi:

    authors: Sławek J,Walczak A,Krupa-Olchawa J,Dubaniewicz M,Lass P

    更新日期:1998-11-01 00:00:00

  • [Periodic EEG discharges of stereotyped morphology].

    abstract::Clinical course of disease and results of EEG examinations of 6 patients with severe brain disturbances of various aetiology provided grounds for discussion on the phenomenon of periodic stereotyped EEG discharges (PSD) which is of considerable diagnostic value in some cases. The variability in appearance of these dis...

    journal_title:Neurologia i neurochirurgia polska

    pub_type: 杂志文章

    doi:

    authors: Kowalski J,Karbowski K

    更新日期:1977-03-01 00:00:00

  • [2 cases of familial alkaptonuria with neurological complications].

    abstract::Two cases of alcaptonuria in siblings treated at a neurological hospital department for lumbar disc lesions with radicular symptoms are reported. Presence of ochronosis and characteristic radiological changes were demonstrated in the spine and iliac joints. The diagnosis was confirmed by biochemical investigations. Th...

    journal_title:Neurologia i neurochirurgia polska

    pub_type: 杂志文章

    doi:

    authors: Słowik J,Bańdur M,Libuszowska D,Bereza M

    更新日期:1980-01-01 00:00:00

  • [Evaluation of intracranial volume compensation analyzing changes of harmonic components of intracranial pressure pulse wave].

    abstract::Intracranial pressure (ICP) pulse wave was analysed during infusion tests performed in hospital (hydrocephalus) and in cats. Pulse wave changes were evaluated calculating the high frequency centroid index (HFC) in the HFC, found to be a very valuable parameter in intracranial volume-pressure situation evaluation. The ...

    journal_title:Neurologia i neurochirurgia polska

    pub_type: 杂志文章

    doi:

    authors: Berdyga J,Czernicki Z,Czosnyka M

    更新日期:1994-03-01 00:00:00

  • The use of functional magnetic resonance imaging in reducing a risk of postoperative neurological deficits in the patients with brain tumour.

    abstract:BACKGROUND AND PURPOSE:The purpose of the study was to compare the results of operative treatment of tumours located in the sensory-motor cortex guided with functional magnetic resonance imaging (fMRI) combined with the neuro-na-vigation system to the results of classical operative treatment. MATERIAL AND METHODS:The ...

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    pub_type: 杂志文章

    doi:10.5114/ninp.2013.39072

    authors: Tymowski M,Majchrzak K,Bobek-Billewicz B,Ladziński P,Majchrzak H

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  • [Surgical treatment of arteriovenous malformations of branches of the external carotid artery].

    abstract::The authors report two cases of rarely observed arteriovenous malformations of the external carotid artery treated surgically. The diagnostic problems and own observations and methods of surgical treatment of these malformations are discussed. ...

    journal_title:Neurologia i neurochirurgia polska

    pub_type: 杂志文章

    doi:

    authors: Polis L,Polis Z,Brzeziński J,Kun M

    更新日期:1981-01-01 00:00:00

  • [Newly described form of idiopathic headache--so-called chronic paroxysmal hemicrania (Sjaastad syndrome)].

    abstract::The authors discuss the new form of headache described in 1974 by Sjaastad differing from other headaches known as yet occurring in attacks: chronic paroxymal hemicrania. Attacks resembling cluster headaches have a shorter duration (10-20 minutes) and occur more frequently (up to 30 times daily). An important feature ...

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    pub_type: 杂志文章

    doi:

    authors: Bogucki A,Szymańska R,Braciak W

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    abstract::The authors present the results of surgical treatment of 48 aneurysms situated on the anterior communicating artery operated upon by the classic and microsurgical methods. The latter method has made it possible to raise the proportion of very good and good results from 23% in the classic method to 70%, and to reduce t...

    journal_title:Neurologia i neurochirurgia polska

    pub_type: 杂志文章

    doi:

    authors: Czochra M,Kamiński S,Koźniewska H,Muszyński A,Brzozowski S

    更新日期:1980-01-01 00:00:00

  • [Physiologic all-night sleep in patients with severe forms of epilepsy].

    abstract::100 all night sleep records in 90 patients with various forms of epilepsy and 10 patients with syncope were analyzed. There were 10 patients with generalized epilepsy, 41-with partial epilepsy with complex symptomatology and temporal foci, 23--with mixed seizures and frontal focal changes and 16 patients with partial ...

    journal_title:Neurologia i neurochirurgia polska

    pub_type: 杂志文章

    doi:

    authors: Bacia T,Czarkwini-Pacak L,Fryze C

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  • [Schwannoma of the common peroneal nerve. A differential diagnosis versus rare popliteal cyst].

    abstract::The presented case concerns a patient with neuralgia of the common peroneal nerve and progressive neurological deficit caused by interfascicular growth of schwannoma. The ultrasound diagnostics identified the lesion as a popliteal cyst. Magnetic resonance imaging revealed features of atypical cyst location. Due to the...

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  • [Symptomatic treatment and palliative care of ALS].

    abstract::Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease, affecting upper and lower motor neurons, which eventually progresses to respiratory deterioration and death in most of the patients. Only one drug, riluzole, has been approved for the treatment of ALS. The drug has a benefit, prolonging life by 3-6 mo...

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    doi:

    authors: Kwieciński H

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  • [History of discoveries and advances in the studies of parkinsonism].

    abstract::A review is presented of the more important discoveries and advances in the 175-year history of the studies and therapeutic trials on parkinsonism. The personality and achievements of James Parkinson are described, with a brief discussion on his most important paper "An Essay on Shaking Palsy". The important works of ...

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    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Kuran W

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  • [Segmental conduction times in motor pathways for the soleus muscle--methodology and normal values].

    abstract::The study performed in 30 normal subjects (24F, 6M) with age range 18-55 years and height range 154-188 cm. Electrical stimulation was applied to the tibial nerves and direct response M and F-wave was recorded from right and left SOLEUS (60 examinations). Transcranial and paravertebral (S1 level) magnetic stimulation ...

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  • Evaluation of postural balance in patients with obstructive sleep apnoea syndrome.

    abstract:INTRODUCTION:Patients with obstructive sleep apnoea syndrome (OSAS) can be more prone to accidents due to excessive daytime sleepiness which can lead to attention deficits and thereby cause balance problems. One of the tests evaluating postural balance is static posturography (SPG). In this study, we aimed to evaluate ...

    journal_title:Neurologia i neurochirurgia polska

    pub_type: 杂志文章

    doi:10.5603/PJNNS.a2019.0059

    authors: Demir T,Aslan K,Demirkiran M

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  • [Cerebral blood changes during neuropsychological tests administered by Doppler sonography. Preliminary report].

    abstract::The preliminary studies on cerebral blood flow changes during neuropsychologic tests were carried out using transcranial Doppler sonography (TCD). The procedure with the standardized cerebral activation in order to obtain the control brain activity level was elaborated and tested. Blood flow velocity changes were meas...

    journal_title:Neurologia i neurochirurgia polska

    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Czernicki Z,Luczywek E,Fersten E

    更新日期:1994-11-01 00:00:00

  • [Thyrotropic and thyroid hormone (T3 and T4) content in Horton' s headache patients].

    abstract::In 18 men with Horton's headaches the levels of the following hormones were determined in the serum: TSH, T3 and T4. The determinations were performed during disease relapse and before starting treatment. The control group included 18 blood donors. In the control group the mean TSH level was 3.97 +/- 0.88 microunits/m...

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    doi:

    authors: Klimek A,owczarczyk I,Głuszcz-Zielińska A

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  • The concept of cerebral circulatory-pressure index (CCPI).

    abstract::The theoretical relations between blood pressure (MABP), intracranial pressure (ICP) and cerebral perfusion pressure (CPP) as well as the new Cerebral Circulation-Pressure Index (CCPI) are presented in the paper. The special nomogram collecting all of these parameters was constructed. CPPI was defined as a quotient of...

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    pub_type: 杂志文章

    doi:

    authors: Wroński J,Juniewicz H,Mierzwa J,Zub L

    更新日期:2000-01-01 00:00:00

  • [On some clinical aspects of extradural spinal neoplasms].

    abstract::Certain clinical aspects of extradurally situated spinal tumours are presented stressing their importance for the diagnosis and therapeutic approach. The role of pain as the first clinical symptom is emphasized. Of great importance are the plan X-ray films of the spine which in nearly 70% of cases reveal changes in bo...

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    pub_type: 杂志文章,评审

    doi:

    authors: Maciejczak A,Radek A

    更新日期:1993-03-01 00:00:00

  • Nocturnal paroxysmal dystonia - case report.

    abstract::Nocturnal paroxysmal dystonia describes a syndrome consisting of recurrent motor episodes of dystonic-dyskinetic features arising from non-rapid eye movement (NREM) sleep. In the article, the authors present female case of nocturnal paroxysmal dystonia. The patient has had attacks since her childhood and was eventuall...

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  • Educational level and cognitive impairment in patients with Parkinson disease.

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    pub_type: 杂志文章

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  • Fatal serotonin syndrome in a patient with Marchiafava-Bignami disease: Combined neurological and psychiatric emergency.

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  • [Dynamic assessment of blood flow in pre-cranial and intracranial arteries in patients with mild head injuries].

    abstract::Mild head injury constitutes about 75% of all head injury cases. The post-concussion syndrome usually following a mild head injury is connected with numerous symptoms and not very severe signs. Research findings indicate that the symptoms related to mild head injuries persist for over 6 months in most patients. Accumu...

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    authors: Becelewski J,Pierzchała K

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