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Prognostic value of the dense middle cerebral artery sign in patients with acute ischemic stroke

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Abstract

The presence of a dense appearance of the horizontal part of the middle cerebral artery (the “dense middle cerebral artery sign”) was looked for on CT scans taken on admission in 90 consecutive patients with ischemic stroke in the carotid artery distribution. The outcome of the 14 patients with the sign was poorer than that of 76 patients without the sign (Odds ratio 4.3). We suggest that this sign could be a useful prognostic variable in the acute phase of an ischemic stroke.

Sommario

È state ricercata retrospettivamente la presenza della immagine iperdensa del tratto orizzontale della cerebrale media (“dense middle cerebral artery sign”) negli esami TAC eseguiti in 90 pazienti consecutivi con sintomatologia riferibile ad ischemia acuta nel territorio del circolo carotideo.

L'evoluzione clinica dei 14 pazienti in cui il segno della cerebrale media iperdensa è stato rilevato è stata peggiore degli altri 76 (Odds ratio 4.3).

Gli autori suggeriscono che il rilievo di questo segno può rappresentare una utile indicazione prognostica precoce nei casi di ischemia cerebrale acuta.

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Authors and Affiliations

  1. Clinica Neurologica, Università di Perugia, Via Enrico Dal Pozzo, 06100, Perugia

    Ricci S., Celani M. G. & Guercini G.

  2. Servizio di Neuroradiologia, Università di Perugia, Via Enrico Dal Pozzo, 06100, Perugia

    Caputo N., Chiurulla C., Scaroni R. & Signorini E.

  3. Clinica Medica 2, Cattedra di Gerontologia e Geriatria, Università di Perugia, Via Enrico Dal Pozzo, 06100, Perugia

    Aisa G., Mercuri M. & Senin U.

Authors
  1. Ricci S.
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  2. Caputo N.
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  3. Aisa G.
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  4. Celani M. G.
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  5. Chiurulla C.
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  6. Mercuri M.
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  7. Guercini G.
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  8. Scaroni R.
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  9. Senin U.
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  10. Signorini E.
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Ricci, S., Caputo, N., Aisa, G. et al. Prognostic value of the dense middle cerebral artery sign in patients with acute ischemic stroke. Ital J Neuro Sci 12, 45–47 (1991). https://doi.org/10.1007/BF02337613

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  • DOI: https://doi.org/10.1007/BF02337613

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