| Non ischaemic causes of lacunar syndromes: prevalence and clinical findings. | |
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MedLine Citation:
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PMID: 2795047 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To evaluate the prevalence of lacunar syndromes due to non ischaemic causes 97 consecutive patients with recent (less than 72 hours) onset of a recognised lacunar syndrome were studied. Investigations showed that nine cases were due to non ischaemic pathologies (four primary intracerebral haemorrhages, one rupture of a mycotic aneurysm, one cerebral abscess, one subdural haematoma, one glioblastoma, one multiple sclerosis). Clinical features did not allow a separation of non ischaemic from ischaemic patients; however, hypertension was significantly more frequent in the latter group, and its positive predictive value in identifying ischaemic patients was 96.6%. Lacunar syndromes due to non ischaemic causes are not rare; since CT scan allowed appropriate treatment in two patients and demonstrated contraindications to antithrombotic therapy in five others, its early use appears warranted in patients with acute lacunar syndromes, particularly if normotensive. |
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Authors:
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N Anzalone; G Landi |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of neurology, neurosurgery, and psychiatry Volume: 52 ISSN: 0022-3050 ISO Abbreviation: J. Neurol. Neurosurg. Psychiatr. Publication Date: 1989 Oct |
Date Detail:
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Created Date: 1989-11-14 Completed Date: 1989-11-14 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 2985191R Medline TA: J Neurol Neurosurg Psychiatry Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 1188-90 Citation Subset: IM |
Affiliation:
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Neurological Clinic, Ospedale Policlinico, Milano, Italy. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Cerebral Hemorrhage / complications Cerebral Infarction / etiology* Female Humans Hypertension / complications Male Middle Aged Prospective Studies Risk Factors |
| Comments/Corrections | |
Comment In:
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J Neurol Neurosurg Psychiatry. 1990 Sep;53(9):819
[PMID:
2246671
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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