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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
11
|
| pubmed:dateCreated |
1990-12-24
|
| pubmed:abstractText |
We evaluated the correlation between clinical features and computed tomographic findings in a prospective study of 1,191 consecutive patients with acute cerebrovascular disease seen during 1 year. In the 386 patients in whom symptoms and signs initially suggested a cerebrovascular disorder, computed tomography revealed a relevant lesion in 154 (hemorrhagic in 52 [33.8%], ischemic in 102 [66.2%]) and a significant nonstroke abnormality in 14 (3.1%). Among the remaining 805 patients with symptoms and signs suggesting some central nervous system disorder other than stroke, computed tomography revealed a cerebrovascular lesion in 38 (4.7%); 35 of these lesions were ischemic. The computed tomographic findings was compatible with the final clinical diagnosis in 192 (84.2%) of the 228 patients with lesions. In the entire sample of 1,191 patients, a cerebrovascular disorder would have been missed in 38 (3.2%) without computed tomography. On the other hand, computed tomography failed to visualize a cerebrovascular lesion in 40 patients in whom such a lesion was clinically obvious. Our results emphasize that both careful neurologic assessment and a policy of early computed tomography are of crucial importance in the diagnosis of stroke and for therapeutic considerations.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Nov
|
| pubmed:issn |
0039-2499
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
21
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
1562-6
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:2237949-Adolescent,
pubmed-meshheading:2237949-Adult,
pubmed-meshheading:2237949-Aged,
pubmed-meshheading:2237949-Aged, 80 and over,
pubmed-meshheading:2237949-Cerebrovascular Disorders,
pubmed-meshheading:2237949-Female,
pubmed-meshheading:2237949-Humans,
pubmed-meshheading:2237949-Male,
pubmed-meshheading:2237949-Middle Aged,
pubmed-meshheading:2237949-Prospective Studies,
pubmed-meshheading:2237949-Radiographic Image Enhancement,
pubmed-meshheading:2237949-Tomography, X-Ray Computed
|
| pubmed:year |
1990
|
| pubmed:articleTitle |
Correlation of clinical and computed tomographic findings in stroke patients.
|
| pubmed:affiliation |
Department of Neurology, University of Oulu, Finland.
|
| pubmed:publicationType |
Journal Article
|