Exploration of factors affecting prognosis of stroke preceded by transient ischemic attack

Authors

  • Nermien Adly Associate Professor, Department of Geriatrics and Gerontology, Faculty of Medicine, Ain Shams University, Cairo
  • Safaa Hussein Ali Lecturer, Department of Geriatrics and Gerontology, Faculty of Medicine, Ain Shams University, Cairo

DOI:

https://doi.org/10.3126/ajms.v7i4.14704

Keywords:

Infratentorial, Latency, Prognosis, Stroke, Transient ischemic attack

Abstract

Background: Age is the most important risk factor for stroke. The regional brain affection was not considered in a comparison between different brain locations as a predictor for outcome in those with and without prior TIA.

Aims and Objectives: Can transient Ischemic attack predict stroke prognosis?

Materials and Methods: Fifty nine patients, aged ≥ 55 years old, with recent ischemic stroke were studied, with (cases, 40.68%) and without (controls) antecedent TIA. National Institutes of Health Stroke Scale (NIHSS), modified Rankin scale (MRS), and California risk score (CRS) were assessed. A brain computed tomography was done.

Results: Older age was a predictor of more severe stroke (P<0.001). Different latencies for TIA were studied. With reference to our controls, better prognosis was found only in cases with TIA ≤ seven days as a predictor for better NIHSS and MRS. In cases, CRS was a significant predictor of shorter latency. Infratentorial ischemic stroke, not supratentorial ischemic stroke, with prior TIA, was a significant predictor of lower NIHSS.

Conclusion: TIA ≤ seven days is a predictor for better NIHSS and MRS.

Asian Journal of Medical Sciences Vol.7(4) 2016 68-74

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Published

2016-07-04

How to Cite

Adly, N., & Ali, S. H. (2016). Exploration of factors affecting prognosis of stroke preceded by transient ischemic attack. Asian Journal of Medical Sciences, 7(4), 68–74. https://doi.org/10.3126/ajms.v7i4.14704

Issue

Vol. 7 No. 4 (2016)

Section

Original Articles

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