Correlation between asymmetrically prominent cortical veins on susceptibility-weighted imaging and early neurological deterioration in patients with acute ischemic stroke
10.3760/cma.j.issn.1673-4165.2020.02.002
- VernacularTitle:磁敏感加权成像不对称的显著皮质静脉与急性缺血性卒中患者早期神经功能恶化的相关性
- Author:
Zongji HU
1
;
Qi TAN
;
Lin LIU
;
Ruxun HUANG
;
Zhe LI
;
Gangming ZHU
;
Quan PENG
;
Can HUANG
Author Information
1. 中山大学附属东华医院，东莞 523110
- From:
International Journal of Cerebrovascular Diseases
2020;28(2):87-92
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the correlation between asymmetrically prominent cortical veins (APCV) on susceptibility-weighted imaging (SWI) and early neurological deterioration (END) in patients with acute ischemic stroke.Methods:From October 2016 to September 2018, patients with acute ischemic stroke admitted to the Department of Neurology, Donghua Hospital Affiliated to Sun Yat-sen University were enrolled retrospectively. They completed MRI within 3 d of onset. APCV was evaluated using SWI. END was defined as the National Institutes of Health Stroke Scale (NHISS) score at any time point within 7 d after the onset increased by ≥2 or the motor function item score increased by ≥1 from baseline. Multivariate logistic regression analysis was used to determine the independent correlation between APCV and END. Results:A total of 133 patients with acute ischemic stroke were enrolled, including 40 females and 93 males, with a median age of 57.3 years (interquartile range: 47.5-67.5 years). Baseline NIHSS score was 5.9±5.0. Fifty-one (38.3%) patients had APCV, and 38 (28.6%) had END. The proportions of APCV, ipsilateral large vessel stenosis, and patients receiving anticoagulation after admission were significantly different between the END group and the non-END group ( P<0.05). Multivariate logistic regression analysis showed that after adjusting for age and gender, APCV was an independent risk factor for END in patients with acute ischemic stroke (odds ratio 6.907, 95% confidence interval 2.798-17.052; P<0.001). Conclusions:APCV on SWI was an independent risk factor for END in patients with acute ischemic stroke.
