Document Detail

Cerebral embolism in the Michael Reese Stroke Registry.
MedLine Citation:
PMID:  6658927     Owner:  NLM     Status:  MEDLINE    
Infarction secondary to cerebral embolism was diagnosed in 127 (23.5%) of 540 patients in the Michael Reese Stroke Registry. Coronary artery disease, atrial fibrillation, valvular heart disease, mitral annulus calcification, and cardiomyopathy were the commonest etiologies. Echocardiography documented a potential embolic source in 7 patients without previously known heart disease, and clarified the cardiac pathology in many of the patients with known heart disease. The left anterior circulation was affected in 48%, right anterior in 37%, and posterior circulation in 15% of patients. CT was abnormal in 71% of the patients, and was approximately equally helpful in all locations. Nineteen percent of emboli presented with a deficit that was other than maximal at onset. Concurrent systemic embolism was unusual (2.3%). Prognosis was somewhat worse than in thrombotic stroke. Grouping of patients according to embolic source (intra-arterial, cardiac, and uncertain source) showed no differences in activity at onset, early course, or in subsequent course of the illness.
L R Caplan; D B Hier; I D'Cruz
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  14     ISSN:  0039-2499     ISO Abbreviation:  Stroke     Publication Date:    1983 Jul-Aug
Date Detail:
Created Date:  1984-02-14     Completed Date:  1984-02-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  530-6     Citation Subset:  IM    
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MeSH Terms
Cardiomyopathies / complications,  diagnosis
Coronary Disease / complications
Intracranial Arteriosclerosis / diagnosis
Intracranial Embolism and Thrombosis / diagnosis*,  etiology
Middle Aged

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