Stroke vs. chronic progressive cerebrovascular disease: A magnetic resonance imaging study of symptomatic outpatients

Stroke is the main manifestation of cerebrovascular disease (CVD). Few studies report the insidious and progressive development of CVD. The aim of this study was the characterization of a CVD form without stroke in association with vascular subtypes and risk factors (VRF). From 105 CVD patients, 65...

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Autor principal: Marschoff, Enrique R.
Publicado: 2002
Materias:
MRI
Acceso en línea:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0022510X_v203-204_n_p67_Dominguez
http://hdl.handle.net/20.500.12110/paper_0022510X_v203-204_n_p67_Dominguez
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spelling paper:paper_0022510X_v203-204_n_p67_Dominguez2023-06-08T14:51:15Z Stroke vs. chronic progressive cerebrovascular disease: A magnetic resonance imaging study of symptomatic outpatients Marschoff, Enrique R. Cerebrovascular chronic progressive form Complete infarcts Incomplete white matter lesions MRI Neurological manifestations Silent infarcts Stroke Vascular dementia aged brain infarction cerebrovascular disease clinical feature conference paper controlled study correlation analysis disease association disease course female human major clinical study male nuclear magnetic resonance imaging outpatient priority journal risk assessment risk factor stroke Aged Argentina Cerebrovascular Accident Cerebrovascular Disorders Chronic Disease Disease Progression Female Humans Magnetic Resonance Imaging Male Neuropsychological Tests Prospective Studies Risk Factors Stroke is the main manifestation of cerebrovascular disease (CVD). Few studies report the insidious and progressive development of CVD. The aim of this study was the characterization of a CVD form without stroke in association with vascular subtypes and risk factors (VRF). From 105 CVD patients, 65 had stroke (62%), 13 of them had more than one stroke (20%), and 40 patients had a chronic progressive form (CPF) (38%). Mean evolution times up to maximum neurological deficiency were 1.57±0.94 and 344.25±210.96 days, respectively. Group results significantly associated with VRFs: hypertension (p=0.0046), hyperlipemia (p=0.0046) and atrial fibrillation (p=0.0173); with clinical manifestations: aphasia (p=0.0018), pyramidal syndrome (p=0.0000001) and small vessel disease (SVD) (p=0.0000001); and with MRI: bilateral infarctions (p=0.00009) and incomplete white matter lesions (IWMLs) (p=0.0061). Within the CPF group, dysarthria and complete infarctions were associated (p=0.00036). Most neurological disorders associated with CVD are related to CPF. The significant correlations of SVD, bilateral infarcts, IWMLs, dysarthria, several VRFs and the strong difference in evolution time up to maximum neurological deficiency values characterize CPF as a separate entity within CVD. © 2002 Elsevier Science B.V. All rights reserved. Fil:Marschoff, E.R. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. 2002 https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0022510X_v203-204_n_p67_Dominguez http://hdl.handle.net/20.500.12110/paper_0022510X_v203-204_n_p67_Dominguez
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic Cerebrovascular chronic progressive form
Complete infarcts
Incomplete white matter lesions
MRI
Neurological manifestations
Silent infarcts
Stroke
Vascular dementia
aged
brain infarction
cerebrovascular disease
clinical feature
conference paper
controlled study
correlation analysis
disease association
disease course
female
human
major clinical study
male
nuclear magnetic resonance imaging
outpatient
priority journal
risk assessment
risk factor
stroke
Aged
Argentina
Cerebrovascular Accident
Cerebrovascular Disorders
Chronic Disease
Disease Progression
Female
Humans
Magnetic Resonance Imaging
Male
Neuropsychological Tests
Prospective Studies
Risk Factors
spellingShingle Cerebrovascular chronic progressive form
Complete infarcts
Incomplete white matter lesions
MRI
Neurological manifestations
Silent infarcts
Stroke
Vascular dementia
aged
brain infarction
cerebrovascular disease
clinical feature
conference paper
controlled study
correlation analysis
disease association
disease course
female
human
major clinical study
male
nuclear magnetic resonance imaging
outpatient
priority journal
risk assessment
risk factor
stroke
Aged
Argentina
Cerebrovascular Accident
Cerebrovascular Disorders
Chronic Disease
Disease Progression
Female
Humans
Magnetic Resonance Imaging
Male
Neuropsychological Tests
Prospective Studies
Risk Factors
Marschoff, Enrique R.
Stroke vs. chronic progressive cerebrovascular disease: A magnetic resonance imaging study of symptomatic outpatients
topic_facet Cerebrovascular chronic progressive form
Complete infarcts
Incomplete white matter lesions
MRI
Neurological manifestations
Silent infarcts
Stroke
Vascular dementia
aged
brain infarction
cerebrovascular disease
clinical feature
conference paper
controlled study
correlation analysis
disease association
disease course
female
human
major clinical study
male
nuclear magnetic resonance imaging
outpatient
priority journal
risk assessment
risk factor
stroke
Aged
Argentina
Cerebrovascular Accident
Cerebrovascular Disorders
Chronic Disease
Disease Progression
Female
Humans
Magnetic Resonance Imaging
Male
Neuropsychological Tests
Prospective Studies
Risk Factors
description Stroke is the main manifestation of cerebrovascular disease (CVD). Few studies report the insidious and progressive development of CVD. The aim of this study was the characterization of a CVD form without stroke in association with vascular subtypes and risk factors (VRF). From 105 CVD patients, 65 had stroke (62%), 13 of them had more than one stroke (20%), and 40 patients had a chronic progressive form (CPF) (38%). Mean evolution times up to maximum neurological deficiency were 1.57±0.94 and 344.25±210.96 days, respectively. Group results significantly associated with VRFs: hypertension (p=0.0046), hyperlipemia (p=0.0046) and atrial fibrillation (p=0.0173); with clinical manifestations: aphasia (p=0.0018), pyramidal syndrome (p=0.0000001) and small vessel disease (SVD) (p=0.0000001); and with MRI: bilateral infarctions (p=0.00009) and incomplete white matter lesions (IWMLs) (p=0.0061). Within the CPF group, dysarthria and complete infarctions were associated (p=0.00036). Most neurological disorders associated with CVD are related to CPF. The significant correlations of SVD, bilateral infarcts, IWMLs, dysarthria, several VRFs and the strong difference in evolution time up to maximum neurological deficiency values characterize CPF as a separate entity within CVD. © 2002 Elsevier Science B.V. All rights reserved.
author Marschoff, Enrique R.
author_facet Marschoff, Enrique R.
author_sort Marschoff, Enrique R.
title Stroke vs. chronic progressive cerebrovascular disease: A magnetic resonance imaging study of symptomatic outpatients
title_short Stroke vs. chronic progressive cerebrovascular disease: A magnetic resonance imaging study of symptomatic outpatients
title_full Stroke vs. chronic progressive cerebrovascular disease: A magnetic resonance imaging study of symptomatic outpatients
title_fullStr Stroke vs. chronic progressive cerebrovascular disease: A magnetic resonance imaging study of symptomatic outpatients
title_full_unstemmed Stroke vs. chronic progressive cerebrovascular disease: A magnetic resonance imaging study of symptomatic outpatients
title_sort stroke vs. chronic progressive cerebrovascular disease: a magnetic resonance imaging study of symptomatic outpatients
publishDate 2002
url https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0022510X_v203-204_n_p67_Dominguez
http://hdl.handle.net/20.500.12110/paper_0022510X_v203-204_n_p67_Dominguez
work_keys_str_mv AT marschoffenriquer strokevschronicprogressivecerebrovasculardiseaseamagneticresonanceimagingstudyofsymptomaticoutpatients
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