Predicting cerebral edema in ischemic stroke patients

Objectives To produce a scoring system for predicting the development of edema in ischemic stroke patients without edema on admission. Methods This retrospective study included 572 ischemic stroke patients (73.3 ± 13.0 years, 300 male) without signs of cerebral edema on the first CT scan, which was...

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Bibliographic Details
Published in:Neurological sciences 2019-04, Vol.40 (4), p.745-752
Main Authors: Muscari, Antonio, Faccioli, Luca, Lega, Maria Vittoria, Lorusso, Andrea, Trossello, Marco Pastore, Puddu, Giovanni M., Spinardi, Luca, Zoli, Marco
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Brain Edema - diagnosis
Brain Edema - diagnostic imaging
Brain Edema - etiology
Brain Edema - physiopathology
Brain Ischemia - complications
Brain Ischemia - diagnosis
Brain Ischemia - diagnostic imaging
Brain Ischemia - physiopathology
Compression
Computed tomography
Edema
Female
Humans
Ischemia
Male
Medicine
Medicine & Public Health
Middle Aged
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Original Article
Prognosis
Psychiatry
Retrospective Studies
Severity of Illness Index
Stroke
Stroke - complications
Stroke - diagnosis
Stroke - diagnostic imaging
Stroke - physiopathology
Substantia alba
Tomography, X-Ray Computed
Ventricle (lateral)
Vomiting
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Summary:Objectives To produce a scoring system for predicting the development of edema in ischemic stroke patients without edema on admission. Methods This retrospective study included 572 ischemic stroke patients (73.3 ± 13.0 years, 300 male) without signs of cerebral edema on the first CT scan, which was performed on admission. Another scan was normally performed 3 days later, and subsequently whenever needed. Edema was defined as cerebral hypodensity with compression of lateral ventricles. The main clinical, laboratory, and instrumental variables obtained during the first 24 h were related to the appearance of edema on the CT scans performed after the first one. Results Cerebral edema occurred in 158 patients (27.6%) after a median time of 4 days. The variables independently associated with edema development were (odds ratio, 95% CI) the following: (1) total anterior circulation syndrome (4.20, 2.55–6.93; P  
ISSN:1590-1874
1590-3478
DOI:10.1007/s10072-019-3717-y