Abciximab after IV rt-PA for Fluctuating Lacunar Syndrome (P07.005)

Neurology ◽  
2012 ◽  
Vol 78 (Meeting Abstracts 1) ◽  
pp. P07.005-P07.005
Author(s):  
D. Nair ◽  
C. McNeil ◽  
R. Wang ◽  
J. Jahnel ◽  
A. Tobin ◽  
...  
Keyword(s):  
Lacunar Syndrome

Abstract TP63: Lacunarization After Endovascular Treatment: a Surrogate Marker of Good Functional Outcome

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Pedro Cardona ◽  
Helena Quesada ◽  
Blanca Lara ◽  
Nuria Cayuela ◽  
Xavier Ustrell ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Endovascular Treatment ◽  
Functional Outcome ◽  
Surrogate Marker ◽  
Source Image ◽  
Stroke Patients ◽  
Good Functional Outcome ◽  
Lacunar Syndrome ◽  
Contrast Ct

Introduction: Multiple randomized trials have demonstrated that endovascular treatment (EVT) in selected stroke patients is associated with good clinical outcome (90 days mRankin 0-2: 44-60%). However the percentage of good functional outcome could be improved if we consider patients without cortical clinical impairment with presentation of classical lacunar syndrome despite non-lacunar radiological infarct. Methods: Consecutive patients with ischemic stroke who received endovascular reperfusion were retrospectively analyzed between May 2010 and April 2015. On admission NCCT (non-contrast CT) and CTASI (CT Angiography Source Image) were performed in stroke patients according to our hospital guidelines. We independently applied the ASPECT score in all baselines NCCT, CTASI and follow-up NCCT 24H, and magnetic resonance (MR) during hospitalization. Five pure clinical lacunar syndromes (CLS) were recorded within 24h exam after EVT in our stroke unit and 90 days follow-up Results: We review 428 thrombectomies of patients with acute ischemic stroke. Ninety-five percent of occlusions were located in middle cerebral artery or terminal internal carotid, (49% women, mean age 65+/-13 years; NIHSS at admission: 17; baseline mRS 0-1:96%). Successful recanalization (TICI 2b-3) was achieved in 81%. At 3 months good functional outcome (mRS 0-2) was seen in 51% and death occurred in 13%. CLS were indentified in 42% patients within 24h after EVT. This clinical syndromes were associated to ASPECT score in 24 NCCT and CTASI in patients with recanalization 2b-3 (p:0.003), but only 4% had a defined radiological lacunar stroke on MR. CLS turned out to be one of independence predictors of good outcomes (Rankin 0-2 at 90d) after adjustment for ages, sex and baseline NIHSS scores (OR 1.85; CI:1.4-3.1; p:0.001). Also CLS were still present in 34% of patients with Rankin>2 at 90d (Rankin 3:26%; Rankin 4:7%) Conclusions: These results suggest that a neurological exam 24h after EVT with identification of pure lacunar syndrome can predict favorable functional outcome at 90days. This group of patients presents radiological findings with an unusual location and size with regard to CLS. We suggest to consider patients with CLS as good outcome after EVT regardless 90d mRankin>2.

Lacunar Syndrome due to Neurocysticercosis

1989 ◽  
Vol 46 (4) ◽  
pp. 415-417 ◽  
Author(s):  
F. Barinagarrementeria ◽  
O. H. Del Brutto
Keyword(s):  
Lacunar Syndrome

Thumb, forefinger, and lip numbness: a distinctive thalamic lacunar syndrome

2012 ◽  
Vol 34 (2) ◽  
pp. 253-254 ◽  
Author(s):  
José Berciano ◽  
Enrique Marco de Lucas ◽  
Onofre Combarros
Keyword(s):  
Lacunar Syndrome

Topographic Patterns and Stroke Subtypes According to Progressive Motor Deficits in Lacunar Syndrome

2011 ◽  
Vol 20 (4) ◽  
pp. 352-356 ◽  
Author(s):  
Yong Bum Kim ◽  
Heui-Soo Moon ◽  
Bum-Chun Suh ◽  
Kwang-Yeol Park ◽  
Yong Taek Lee ◽  
...  
Keyword(s):  
Motor Deficits ◽  
Stroke Subtypes ◽  
Lacunar Syndrome ◽  
Progressive Motor Deficits

Isolated Dysphagia Due to a Medullary Infarction: A New Lacunar Syndrome

1999 ◽  
Vol 41 (1) ◽  
pp. 53-54 ◽  
Author(s):  
Byung-Chul Lee ◽  
Sung-Hee Hwang ◽  
Gregory Youngnam Chang
Keyword(s):  
Lacunar Syndrome ◽  
Medullary Infarction

scholarly journals Clinical predictors of lacunar syndrome not due to lacunar infarction

BMC Neurology ◽  
2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Adrià Arboix ◽  
Joan Massons ◽  
Luis García-Eroles ◽  
Cecilia Targa ◽  
Emili Comes ◽  
...  
Keyword(s):  
Lacunar Infarction ◽  
Clinical Predictors ◽  
Lacunar Syndrome
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