Exploration of factors affecting prognosis of stroke preceded by transient ischemic attack

Authors

  • Nermien Adly Associate Professor, Department of Geriatrics and Gerontology, Faculty of Medicine, Ain Shams University, Cairo
  • Safaa Hussein Ali Lecturer, Department of Geriatrics and Gerontology, Faculty of Medicine, Ain Shams University, Cairo

DOI:

https://doi.org/10.3126/ajms.v7i4.14704

Keywords:

Infratentorial, Latency, Prognosis, Stroke, Transient ischemic attack

Abstract

Background: Age is the most important risk factor for stroke. The regional brain affection was not considered in a comparison between different brain locations as a predictor for outcome in those with and without prior TIA.

Aims and Objectives: Can transient Ischemic attack predict stroke prognosis?

Materials and Methods: Fifty nine patients, aged ≥ 55 years old, with recent ischemic stroke were studied, with (cases, 40.68%) and without (controls) antecedent TIA. National Institutes of Health Stroke Scale (NIHSS), modified Rankin scale (MRS), and California risk score (CRS) were assessed. A brain computed tomography was done.

Results: Older age was a predictor of more severe stroke (P<0.001). Different latencies for TIA were studied. With reference to our controls, better prognosis was found only in cases with TIA ≤ seven days as a predictor for better NIHSS and MRS. In cases, CRS was a significant predictor of shorter latency. Infratentorial ischemic stroke, not supratentorial ischemic stroke, with prior TIA, was a significant predictor of lower NIHSS.

Conclusion: TIA ≤ seven days is a predictor for better NIHSS and MRS.

Asian Journal of Medical Sciences Vol.7(4) 2016 68-74

Downloads

Download data is not yet available.
Abstract
797
PDF
792

Downloads

Additional Files

Published

2016-07-04

How to Cite

Adly, N., & Ali, S. H. (2016). Exploration of factors affecting prognosis of stroke preceded by transient ischemic attack. Asian Journal of Medical Sciences, 7(4), 68–74. https://doi.org/10.3126/ajms.v7i4.14704

Issue

Vol. 7 No. 4 (2016)

Section

Original Articles

License

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).