Международный неврологический журнал Том 18, №6, 2022
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Особливості лакунарного інсульту варолієвого моста: результати госпітального проспективного когортного дослідження
Авторы: M.M. Prokopiv (1), S.K. Yevtushenko (2), O.Ye. Fartushna (3)
(1) — Bogomolets National Medical University, Kyiv, Ukraine
(2) — Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine
(3) — Ukrainian Military Medical Academy, Kyiv, Ukraine
Рубрики: Неврология
Разделы: Справочник специалиста
Версия для печати
Резюме
Вступ. Нових даних про проспективні госпітальні когортні дослідження, у яких проаналізовано клінічні та візуалізаційні ознаки лакунарного інфаркту моста, майже не опубліковано. Мета: визначити клінічні та нейровізуалізаційні особливості лакунарного інфаркту варолієвого моста на ранній стадії в госпітальному проспективному когортному дослідженні. Матеріали та методи. Ми проспективно відібрали 120 пацієнтів, госпіталізованих до неврологічного центру із гострим інсультом у вертебробазилярному басейні, підтвердженим магнітно-резонансною томографією. Особи з інсультом моста були включені в дослідження протягом 6 годин від розвитку симптомів інсульту. Усім пацієнтам проведено комплексне неврологічне, клінічне, лабораторне, ультразвукове та візуалізаційне обстеження. Результати. Із 120 пацієнтів віком від 28 до 89 років у 15 (12,5 %) був діагностований лакунарний інфаркт моста. Проведено комплексне клінічне, неврологічне, лабораторне та інструментальне дослідження особливостей лакунарного інфаркту моста. Висновки. Визначено, проаналізовано та описано специфічні клінічні та візуалізаційні ознаки раннього лакунарного інфаркту моста.
Background. Little to no new data are published on the prospective hospital-based cohort studies that report and analyze clinical and imaging features of lacunar pontine infarction. This study aims to determine clinical and imaging features of lacunar pontine infarction at an early stage in a prospective hospital-based cohort study. Materials and methods. We prospectively recruited 120 patients with acute MRI-positive posterior circulation stroke who were admitted to the Neurological Center of the University Hospital. Patients with pontine stroke were enrolled in the study within 6 hours from the onset of stroke symptoms. Comprehensive neurological, clinical, laboratory, ultrasound, and imaging examinations were performed for all participants. Results. Out of 120 adult patients aged 28 to 89 years, 15 (12.5 %) were diagnosed with lacunar pontine infarction and formed a study group. We provided a comprehensive clinical, neurological, laboratory, and instrumental analysis of lacunar pontine infarction. Conclusions. Specific clinical and imaging features of lacunar pontine infarction were determined, analyzed, and described.
Ключевые слова
інсульт; вертебробазилярний басейн; міст; лакунарний інфаркт моста; нейровізуалізація
stroke; posterior circulation stroke; pons; lacunar pontine infarction; imaging
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