Stroke, Vol 11, 173-177, Copyright © 1980 by American Heart Association
HR Jones Jr, CH Millikan and BA Sandok
Records of 37 consecutive patients with acute brain infarction from
vertebrobasilar artery disease, admitted to the cerebrovascular hospital
service within 36 hours of the onset of symptoms, were studied to define
the temporal profile of clinical events during the first week of illness. A
stable course with unchanged neurologic deficit was found in 11% (4
patients). Progressive improvement in symptoms occurred in 35% (13
patients). Progressive disability occurred in 43% (16 patients). A
remitting-relapsing course was noted in 11% (4 patients). In these latter 2
groups, stabilization of the clinical course occurred in the majority with
48 hours after the initial symptom; however, definite changes continued to
develop up to 96 hours in a significant number of patients. Mortality at
the conclusion of the first week was 27% for the entire group. This was 2.5
times greater than the 10.6% previously reported for a group of 179
patients with acute brain infarction due to carotid system disease who were
concomitantly studied.
ARTICLES
Temporal profile (clinical course) of acute vertebrobasilar system cerebral infarction
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