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Journals / Türk Beyin Damar Hastalıkları Dergisi / 2001 / Cilt: 7 - Sayı: 3

Early clinical and CT findings in large supratentorial infarctions

Geniş supratentoriel infarktlarda erken dönem klinik ve BT bulguları

NİLDA TURGUT
Ufuk UTKU
Galip EKUKLU
Cumhur KILINÇER
Pages
157–160
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Early clinical and CT findings of the large supratentoriel infarctions which have extremely high mortality rate, are very important as prognostic factors.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Large supratentorial infarctions are 10% of all the ischemic strokes.
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Key Findings & Data:The prognosis of these patients are poor and the mortality rate is 17-80%. in the management of such cases, agressive medical therapy or decompressive craniectomy are recommended.
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Conclusion & Impact:Early clinical and CT findings of the large supratentoriel infarctions which have extremely high mortality rate, are very important as prognostic factors.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Tomografi · x-ışınlı bilgisayarlı · Dekompresyon

Abstract

Large supratentorial infarctions are 10% of all the ischemic strokes. The prognosis of these patients are poor and the mortality rate is 17-80%. in the management of such cases, agressive medical therapy or decompressive craniectomy are recommended. Therefore early clinical and CT findings are very important. In this study we evaluated 64 patients who had large supratentorial infarcts on control CT from January 1998 to September 1999. 28 of these patients died from transtentorial herniation and their early CT findings (which was taken 10±2 hours) and early clinical signs were compared with alive group. At the end of the study the severity of motor deficit (p=0.013), reduced consciousness (p=0.024); midline shift (p=0.013), attenuated corticomedullar contrast (CMC) (p=0.002) and silvian fissur effacement (p=0.011) were found meaningly different between these two groups. Early clinical and CT findings of the large supratentoriel infarctions which have extremely high mortality rate, are very important as prognostic factors.

Özet

Geniş supratentorial infarktlar, tüm iskemik strokların yaklaşık %10'nunu oluştururlar ve mortalite oranı çeşitli serilerde % 17-80 olarak tespit edilmiştir. Prognozun oldukça kötü olduğu bu hastalarda gerekli yoğun medikal ve cerrahi tedavinin yapılabilmesi için erken dönem klinik ve BT bulgularının tanınması önem kazanmaktadır. Bu çalışmada Ocak 1998-Eylül 1999 tarihleri arasında kliniğimize başvuran ve kontrol BT'sinde geniş supratentoriel infarkt tespit edilen 64 hastadan sadece transtentorial herniasyonla ölen 28 hastanın erken dönem (10±2 saat) BT ve klinik bulguları yaşayan hastalarla karşılaştırıldı. Sonuçta, ağır motor güçsüzlüğün (p=0.013), bilinç bozukluğunun (p=0.024), orta hat şiftinin (p=0.013), kortikomedüller kontrast (CMC) azalmasının (p=0.002) ve silvian fissur silikliğinin (p=0.011) iki grup arasında anlamlı olarak farklı bulunduğu gözlendi. Mortalitesi oldukça yüksek olan geniş supratentoriel infarktlarda, erken dönem klinik ve BT bulguları prognoz tayini açısından yol göstericidir.

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Cite This Article

TURGUT, N., UTKU, U., EKUKLU, G., KILINÇER, C. (2001). Early clinical and CT findings in large supratentorial infarctions. Türk Beyin Damar Hastalıkları Dergisi, Cilt: 7 - Sayı: 3, 157–160. https://ajindex.com/articles/402907

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