Document Detail


The prognostic value of cortical magnetic stimulation in acute middle cerebral artery infarction compared to other parameters.
MedLine Citation:
PMID:  8884095     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The prognostic value of magnetic evoked potentials (MEP), somatosensory evoked potentials (SSEP), age and radiological parameters was determined in 50 patients with acute middle cerebral artery infarction. We performed MEP and SSEP within 4 days and after 6 weeks and 3 months of the infarction and assessed clinical improvement by using the Barthel index (BI) and the Rankin scale. The localization and extent of the infarction was investigated by CT scanning or NMR. All parameters were correlated to clinical outcome and the prognostic significance of each parameter in addition to BI was determined. MEP, SSEP, and age were valuable prognostic parameters in predicting stroke outcome when used together with the BI. However, in stepwise regression analysis using all parameters simultaneously, only MEP and age significantly contributed to clinical outcome in addition to BI. Patients showed a better outcome when their MEP was normal or delayed, measured within 4 days of the infarction, compared to patients with absent MEP. Clinical outcome was better at a younger age.
Authors:
T P Timmerhuis; G Hageman; S J Oosterloo; A R Rozeboom
Related Documents :
12358145 - Trandolapril reduces infarction area after middle cerebral artery occlusion in rats.
19569495 - Septicemia, endocarditis, and cerebral infarction due to staphylococcus aureus in a har...
7570755 - Acute fatal deterioration in putaminal hemorrhage.
21633575 - Pediatric cardiac emergencies: children are not small adults.
11342755 - Ultrasound-assisted cannulation of the right internal jugular vein during electrophysio...
14533615 - Ezetimibe for lowering blood cholesterol.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Clinical neurology and neurosurgery     Volume:  98     ISSN:  0303-8467     ISO Abbreviation:  Clin Neurol Neurosurg     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1997-01-29     Completed Date:  1997-01-29     Revised Date:  2009-10-14    
Medline Journal Info:
Nlm Unique ID:  7502039     Medline TA:  Clin Neurol Neurosurg     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  231-6     Citation Subset:  IM    
Affiliation:
Department of Neurology, St. Elisabeth Hospital, Tilburg, Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Brain Ischemia / physiopathology*
Cerebral Arteries / physiopathology*
Electromyography
Evoked Potentials, Somatosensory
Female
Functional Laterality
Humans
Longitudinal Studies
Magnetic Resonance Imaging
Magnetics*
Male
Middle Aged
Muscle, Skeletal
Prognosis
Prospective Studies
Tomography, X-Ray Computed

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


Previous Document:  Reversible cerebellar gait ataxia with postural tremor during episodes of high pyrexia.
Next Document:  Epileptic blindness in children: a localizing sign of various epileptic disorders.