Document Detail

Can embolic stroke be diagnosed on the basis of neurologic clinical criteria?
MedLine Citation:
PMID:  3800726     Owner:  NLM     Status:  MEDLINE    
Diagnosis of embolic stroke is based on identification of a source of embolus (SOE) and on neurologic symptoms acknowledged as "clinical criteria." To test the validity of these criteria, we analyzed the symptoms at onset in 193 patients hospitalized after acute cerebral infarction. Patients were grouped according to identification of a cardiac SOE (106 patients), an arterial SOE (38 patients), or no SOE (49 patients). Cross-tabulations demonstrated that only rapidity and loss of consciousness at onset were associated with the presence of a cardiac SOE to a significant degree. Although these symptoms were highly specific for cardiac SOE, they were not sensitive. A distinct clinical neurologic profile from the symptoms and mode of onset was not identified.
M Ramirez-Lassepas; R J Cipolle; R J Bjork; J Kowitz; B D Snyder; J C Weber; S D Stein
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of neurology     Volume:  44     ISSN:  0003-9942     ISO Abbreviation:  Arch. Neurol.     Publication Date:  1987 Jan 
Date Detail:
Created Date:  1987-01-27     Completed Date:  1987-01-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372436     Medline TA:  Arch Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  87-9     Citation Subset:  AIM; IM    
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MeSH Terms
Aged, 80 and over
Heart Diseases / complications
Intracranial Embolism and Thrombosis / diagnosis*,  etiology
Ischemic Attack, Transient / diagnosis
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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