Navegar

Colección

Datos Estadísticas

Artículo

Domínguez, R.O.; Marschoff, E.R.; Serra, J.A.; Gallo, A.; Bartolomé, E.L.; González, S.; D'Abbraccio, G.; Bagg, E.; Vila, J.; Famulari, A.L. "Stroke vs. chronic progressive cerebrovascular disease: A magnetic resonance imaging study of symptomatic outpatients" (2002) Journal of the Neurological Sciences. 203-204:67-71
La versión final de este artículo es de uso interno de la institución.
Consulte el artículo en la página del editor
Consulte la política de Acceso Abierto del editor

Abstract:

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.

Registro:

Documento: Artículo
Título:Stroke vs. chronic progressive cerebrovascular disease: A magnetic resonance imaging study of symptomatic outpatients
Autor:Domínguez, R.O.; Marschoff, E.R.; Serra, J.A.; Gallo, A.; Bartolomé, E.L.; González, S.; D'Abbraccio, G.; Bagg, E.; Vila, J.; Famulari, A.L.
Filiación:Hospital Sirio-Libanés, Servicio de Neurología, Cátedra de Neurología Universidad de Buenos Aires (UBA), Buenos Aires, Argentina
Cátedra de Biometría, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires (UBA), Buenos Aires, Argentina
CONICET, Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires (UBA), Buenos Aires, Argentina
Fundación Argentina Contra Las Enfermedades Neurológicas del Envejecimiento, Buenos Aires, Argentina
Neurología, Facultad de Medicina, Universidad de Buenos Aires, Larrea 1035, Buenos Aires, Argentina
Palabras clave: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
Año:2002
Volumen:203-204
Página de inicio:67
Página de fin:71
DOI: http://dx.doi.org/10.1016/S0022-510X(02)00268-X
Título revista:Journal of the Neurological Sciences
Título revista abreviado:J. Neurol. Sci.
ISSN:0022510X
CODEN:JNSCA
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0022510X_v203-204_n_p67_Dominguez

Referencias:

  • Taylor, T.N., Davis, P.H., Torner, J.C., Lifetime cost of stroke in the United States (1996) Stroke, 27, pp. 1459-1466
  • Roman, G.C., Senile dementia of the Binswanger type. A vascular form of dementia in the elderly (1987) JAMA, 258, pp. 1782-1788
  • Fisher, P., Gatterer, G., Marterer, A., Simanyi, M., Danileczyk, W., Course characteristics in the differentiation of dementia of the Alzheimer type and multi-infarct dementia (1990) Acta Psychiatr. Scand., 81, pp. 551-553
  • Brun, A., Pathology and pathophysiology of cerebrovascular dementia: Pure subgroups of obstructive and hypoperfusive etiology (1994) Dementia, 5, pp. 145-147
  • Pantoni, L., García, J.H., The significance of cerebral white matter abnormalities 100 years after Binswanger's report: A review (1995) Stroke, 26, pp. 1293-1301
  • Folstein, M.F., Folstein, S.E., McHugh, P.R., Mini mental state: A practical method for grading the cognitive state of patient for the clinician (1975) J. Psychiatr. Res., 12, pp. 189-198
  • Hughes, C.P., Berg, L., Danziger, W.L., Coban, L.A., Martin, R.L., A new clinical scale for the staging of dementia (CDR) (1982) Br. J. Psychiatry, 140, pp. 566-572
  • Domínguez, R.O., Bartolomé, E., Serra, J.A., Marschoff, E.R., Famulari, A.L., D'Abbraccio, G.L., Enfermedad cerebrovascular y alteraciones de la marcha: Análisis cualitativo y cuantitativo (2000) Rev. Neurol., 31, pp. 1-8
  • Domínguez, R.O., Bronstein, A., Management of the dizzy and balance disorder patient. Assessment of unexplained falls and gait unsteadiness. The impact of age (2000) Otolaryngol. Clin. North Am., 33, pp. 637-657
  • Mahoney, F.I., Barthel, D.W., Functional evaluation: The Barthel index (1965) Md. State Med. J., 14, pp. 61-65
  • Nutt, J.G., Marsden, C.D., Thompson, P.D., Human walking and higher-level gait disorders, particularly in the elderly (1993) Neurology, 43, p. 268
  • Low molecular weight heparinoid, ORG 10172 (danaparoid), and outcome after acute ischemic stroke. A randomized controlled trial (1998) JAMA, 279, pp. 1265-1272
  • Roman, G.C., Tatemichi, T.K., Erkinjuntti, T., Vascular dementia: Diagnostic criteria for research studies. Report of the NINDS-AIREN International Workshop (1993) Neurology, 43, pp. 250-260
  • Winer, B.J., (1971) Statistical principles in experimental design, , Kogakusha CO, editor. Tokyo: McGraw-Hill
  • Sokal, R.R., Rohlf, F.J., (1995) Biometry, , New York: W. H. Freeman
  • Shinkawa, A., Ueda, K., Kiyohara, Y., Silent cerebral infarction in a community-based autopsy series in Japan. The Hisayama study (1995) Stroke, 26, pp. 380-385
  • Chodosh, E.H., Foulkes, M.A., Kase, C.S., Silent stroke in the NINCDS Stroke Data Bank (1988) Neurology, 38, pp. 1674-1679
  • Kase, C.S., Wolf, P.A., Chodosh, E.H., Prevalence of silent stroke in patients presenting with initial stroke: The Framingham study (1989) Stroke, 20, pp. 850-852
  • Kobayashi, S., Okada, K., Yamashita, K., Incidence of silent lacunar lesion in normal adults and its relation to cerebral blood flow and risk factors (1991) Stroke, 22, pp. 1379-1383
  • Vermeer, S.E., Koudstaal, P.J., Oudkerk, M., Prevalence and risk factors of silent brain infarcts in the population-based Rotterdam scan study (2002) Stroke, 33, pp. 21-25
  • Domínguez, R.O., Famulari, A.L., García, G., Bartolomé, E., D'Abbraccio, G., Vila, J., Early onset of leukoaraiosis in hypertensive patients (1993) Arch. Neurol., 50, pp. 13-14
  • Kotsoris, H., Barclay, L.L., Kheyfets, S., Hulyalkar, A., Dougherty, J., Gait disturbances as markers for early multi-infarct dementia (1987) Stroke, 18, pp. 138-141
  • Tatemichi, T.K., How acute brain failure becomes chronic: A view of the mechanisms of dementia related to stroke (1990) Neurology, 40, pp. 1652-1659
  • Hachinski, V.C., Vascular dementia (2001) World Neurol., 16, pp. 9-11
  • Stewart, R., Vascular dementia: A diagnosis running out of time (2002) Br. J. Psychiatry, 180, pp. 152-156
  • Urban, P.P., Wicht, S., Vukurevic, G., Dysarthria in acute ischemic stroke (2001) Neurology, 46, pp. 1021-1027
  • Kumral, E., Eryapan, D., Balkir, K., Acute caudate vascular lesions (1998) Stroke, 30, pp. 100-108
  • Davis, P.H., Clarke, W.R., Bendinsen, B.H., Silent cerebral infarction in patients enrolled in the TOAST study (1996) Neurology, 46, pp. 942-948
  • Jorgensen, H.S., Nakayama, H., Raaschou, H.O., Olsen, T.S., Leukoaraiosis in stroke patients. The Copenhagen Stroke Study (1995) Stroke, 26, pp. 588-592
  • Kwa, V.I.H., Stam, J., Blok, L.M., T2-weighted hyperintense MRI lesions in the pons in patients with atherosclerosis (1997) Stroke, 28, pp. 1357-1360
  • Ostrow, P.T., Miller, L.L., Pathology of small artery disease (1993) Adv. Neurol., 62, pp. 93-123
  • Longstreth, W.T., Manolio, T.A., Arnold, A., Clinical correlates of white matter findings on cranial magnetic resonance imaging of 3301 elderly people (1996) Stroke, 27, pp. 1274-1282
  • Pantoni, L., García, J.H., Pathogenesis of leukoaraiosis (1997) Stroke, 28, pp. 652-659

Citas:

---------- APA ----------
Domínguez, R.O., Marschoff, E.R., Serra, J.A., Gallo, A., Bartolomé, E.L., González, S., D'Abbraccio, G.,..., Famulari, A.L. (2002) . Stroke vs. chronic progressive cerebrovascular disease: A magnetic resonance imaging study of symptomatic outpatients. Journal of the Neurological Sciences, 203-204, 67-71.
http://dx.doi.org/10.1016/S0022-510X(02)00268-X
---------- CHICAGO ----------
Domínguez, R.O., Marschoff, E.R., Serra, J.A., Gallo, A., Bartolomé, E.L., González, S., et al. "Stroke vs. chronic progressive cerebrovascular disease: A magnetic resonance imaging study of symptomatic outpatients" . Journal of the Neurological Sciences 203-204 (2002) : 67-71.
http://dx.doi.org/10.1016/S0022-510X(02)00268-X
---------- MLA ----------
Domínguez, R.O., Marschoff, E.R., Serra, J.A., Gallo, A., Bartolomé, E.L., González, S., et al. "Stroke vs. chronic progressive cerebrovascular disease: A magnetic resonance imaging study of symptomatic outpatients" . Journal of the Neurological Sciences, vol. 203-204, 2002, pp. 67-71.
http://dx.doi.org/10.1016/S0022-510X(02)00268-X
---------- VANCOUVER ----------
Domínguez, R.O., Marschoff, E.R., Serra, J.A., Gallo, A., Bartolomé, E.L., González, S., et al. Stroke vs. chronic progressive cerebrovascular disease: A magnetic resonance imaging study of symptomatic outpatients. J. Neurol. Sci. 2002;203-204:67-71.
http://dx.doi.org/10.1016/S0022-510X(02)00268-X