Symptomatic middle cerebral artery stenosis:stroke recurrence,clinical prognosis and vascular change
11.3969/j.issn.1672-5921.2015.08.007
- VernacularTitle:症状性单纯大脑中动脉狭窄患者卒中复发和临床预后及血管改变的随访分析
- Author:
Sufang XUE
;
Xiaowei SONG
;
Yi REN
;
Qingfeng MA
;
Jian WU
- Publication Type:Journal Article
- Keywords:
Middle cerebral artery;
Stenosis;
Symptomatic middle cerebral artery stenosis;
Ischemic stroke
- From:
Chinese Journal of Cerebrovascular Diseases
2015;(8):426-429
- CountryChina
- Language:Chinese
-
Abstract:
objective To investigate the recurrence of stroke,clinical prognosis and vascular changes in patients with ischemic stroke due to middle cerebral artery stenosis. Methods The ischemic stroke patients with symptomatic middle cerebral artery stenosis were enrolled continuously and followed up prospectively for six months. The recurrence of ipsilateral stroke,clinical prognosis and dynamic changes of vessels were analyzed. Results Eighty patients were included,and 20.0% of the patients(16 cases)presented with recurrence of ipsilateral ischemic stroke and 56 cases (70.0%)with a good outcome(modified Rankin scale[mRS]≤1)during the 6 months follow-up;38.6% patients (27 cases) presented with significant vascular changes with progression in 12 cases (17.1%)and regression in 15 cases (21.4%). Conclusion The patients with simple symptomatic middle cerebral artery stenosis have an high rate recurrence of ipsilateral stroke but have good prognosis;Lesioned artery of the majority of patients in the short period after stroke was stable,but vascular stenosis in some patients could appear progression or remission.
