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Date Published: 25/04/2022
Abstract Views: 113
Views PDF: 154
DOI: https://doi.org/10.51298/vmj.v512i1.2211
Issue
Vol. 512 No. 1 (2022)
Section
Các bài báo
How to Cite
Hồng Khôi, V. ., & Duy Tùng, P. . (2022). RELATIONSHIP BETWEEN CLINICAL SYMPTOMS AND MAGNETIC RESONANCE IMAGING OF POSTERIOR CEREBRAL ARTERY INFARCTION. Vietnam Medical Journal, 512(1). https://doi.org/10.51298/vmj.v512i1.2211

RELATIONSHIP BETWEEN CLINICAL SYMPTOMS AND MAGNETIC RESONANCE IMAGING OF POSTERIOR CEREBRAL ARTERY INFARCTION

Võ Hồng Khôi1,2,3,, Phạm Duy Tùng4
1 Department of Neurology, Bach Mai Hospital
2 University of Medicine and Pharmacy, Vietnam National University, Hanoi
3 Hanoi Medical University
4 Duc Giang General Hospital, Hanoi

Main Article Content

Abstract

Objective: To analysis the relationship between clinical symptoms and magnetic resonance imaging of posterior cerebral artery infarction. Subjects and methods: A prospective, descriptive study of 68 patients with posterior cerebral artery infarction treated at the Department of Neurology, Bach Mai Hospital from March 2017 to March 2018. Results: The mean age was 64.79 ± 11.29, the male/female ratio was 1.83. Risk factors are high blood pressure, alcohol consumption, diabetes, and smoking. Clinical symptoms include: sensory disturbance (45.5%), hemianopia (22%), aphasia (23.5%), cognitive impairment (38.2%) and other neurological deficits. There is a close relationship between symptoms of hemisensory disturbances with thalamus lesions, hemispheric symptoms with occipital lobe lesions, cognitive impairment symptoms with temporal lobe lesions with p <0.001. Patients with pc-ASPECTS score < 8 will be 15 times more likely to have severe disability than patients with pc-ASPECTS score ≥ 8.

Article Details

Keywords

Posterior cerebral artery infarction, magnetic resonance imaging

References

1. Jauch EC, Saver JL, Adams Jr HP, et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2013;44(3):870-947.
2. Nouh A, Remke J, Ruland S. Ischemic posterior circulation stroke: a review of anatomy, clinical presentations, diagnosis, and current management. Frontiers in neurology. 2014;5:30.
3. Caplan LR. Caplan's stroke. Cambridge University Press; 2016.
4. Arboix A, Arbe G, García-Eroles L, Oliveres M, Parra O, Massons J. Infarctions in the vascular territory of the posterior cerebral artery: clinical features in 232 patients. BMC Research Notes. 2011;4(1):1-7.
5. Hypertension TFftMoAHotESo. Guidelines for the management of arterial hypertension. Eur Heart J. 2007;28:1462-1536.
6. Pauletto P, Palatini P, Da Ros S, et al. Factors underlying the increase in carotid intima-media thickness in borderline hypertensives. Arteriosclerosis, thrombosis, and vascular biology. 1999;19(5):1231-1237.
7. Puetz V, Sylaja P, Coutts SB, et al. Extent of hypoattenuation on CT angiography source images predicts functional outcome in patients with basilar artery occlusion. Stroke. 2008;39(9):2485-2490.