A clinical study of 288 patients with anterior cerebral artery infarction
Objective Acute ischemic stroke in the territory of anterior cerebral artery (ACA) is uncommon. Therefore, large population studies evaluating ACA infarction are scarce. We sought to evaluate epidemiological and etiological characteristics of ACA infarction compared to other territorial infarctions....
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| Veröffentlicht in: | Journal of neurology 2022-06, Vol.269 (6), p.2999-3005 |
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| container_title | Journal of neurology |
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| creator | Cho, Hyunji Kim, Taewon Kim, Young-Do Na, Seunghee Choi, Yun Ho Song, In-Uk Chung, Sung-Woo Koo, Jaseong Kwon, Hyeryung Park, Jeong Hyun Im, Hansol |
| description | Objective
Acute ischemic stroke in the territory of anterior cerebral artery (ACA) is uncommon. Therefore, large population studies evaluating ACA infarction are scarce. We sought to evaluate epidemiological and etiological characteristics of ACA infarction compared to other territorial infarctions.
Methods
We analyzed a prospectively collected stroke registry of all acute ischemic stroke patients for 19 years at two tertiary hospitals. We included patients with acute ischemic stroke caused by large vessel stenosis or occlusion including ACA, middle cerebral artery (MCA), posterior cerebral artery (PCA), and vertebrobasilar artery (VBA).
Results
A total of 4171 patients were enrolled. Patients with ACA infarction (
N
= 288) were significantly older with more females than those with MCA, PCA, or VBA infarction. There were more patients with history of prior ischemic stroke in the ACA infarction group than in other groups. The etiology of the ACA infarction was similar to those of the MCA, PCA and also the total population (66.7–71.8% of LAA and 17.9–20.9% of CE). When patients had prior ischemic stroke history, ACA infarction was more likely to be caused by LAA than MCA or PCA infarction (OR = 6.2, 95% CI 2.0–19.2,
p
= 0.002 and OR = 4.0, 95% CI 1.1–14.6,
p
= 0.038, respectively).
Conclusions
Patients with ACA infarction had significantly more prior ischemic stroke than those with MCA, PCA, or VBA infarction. The etiology of ACA infarction in patients with prior ischemic stroke showed significantly more LAA than that of MCA or PCA infarction. |
| doi_str_mv | 10.1007/s00415-021-10904-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2598077461</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2666713250</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-f588abbb1b5a0dae155e18165f68df5beda60665133b90bbbb760e1e6128c84b3</originalsourceid><addsrcrecordid>eNp9kE1LAzEQhoMoWqt_wIMEvHhZndl8bHosxY-C4EXPIdnNasp2tya7SPvrjbYqePA0MPPMO8NDyBnCFQIU1xGAo8ggxwxhAjzb7JERcpZnyMVkn4yAccgEE_yIHMe4AACVBofkiPFCMaXEiMyntGx860vT0NgP1Zp2Nc2VoivTe9f2kb77_pWatnfBd4GWLjgbEmxC6qypb2sTyt537Qk5qE0T3emujsnz7c3T7D57eLybz6YPWckK0We1UMpYa9EKA5VxKIRDhVLUUlW1sK4yEqQUyJidQAJtIcGhk5irUnHLxuRym7sK3dvgYq-XPpauaUzruiHqXEwUFAWXmNCLP-iiG0KbvtO5lLJAlgtIVL6lytDFGFytV8EvTVhrBP0pWm9F6yRaf4nWm7R0vose7NJVPyvfZhPAtkBMo_bFhd_b_8R-AOXoiGY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2666713250</pqid></control><display><type>article</type><title>A clinical study of 288 patients with anterior cerebral artery infarction</title><source>SpringerNature Journals</source><creator>Cho, Hyunji ; Kim, Taewon ; Kim, Young-Do ; Na, Seunghee ; Choi, Yun Ho ; Song, In-Uk ; Chung, Sung-Woo ; Koo, Jaseong ; Kwon, Hyeryung ; Park, Jeong Hyun ; Im, Hansol</creator><creatorcontrib>Cho, Hyunji ; Kim, Taewon ; Kim, Young-Do ; Na, Seunghee ; Choi, Yun Ho ; Song, In-Uk ; Chung, Sung-Woo ; Koo, Jaseong ; Kwon, Hyeryung ; Park, Jeong Hyun ; Im, Hansol</creatorcontrib><description>Objective
Acute ischemic stroke in the territory of anterior cerebral artery (ACA) is uncommon. Therefore, large population studies evaluating ACA infarction are scarce. We sought to evaluate epidemiological and etiological characteristics of ACA infarction compared to other territorial infarctions.
Methods
We analyzed a prospectively collected stroke registry of all acute ischemic stroke patients for 19 years at two tertiary hospitals. We included patients with acute ischemic stroke caused by large vessel stenosis or occlusion including ACA, middle cerebral artery (MCA), posterior cerebral artery (PCA), and vertebrobasilar artery (VBA).
Results
A total of 4171 patients were enrolled. Patients with ACA infarction (
N
= 288) were significantly older with more females than those with MCA, PCA, or VBA infarction. There were more patients with history of prior ischemic stroke in the ACA infarction group than in other groups. The etiology of the ACA infarction was similar to those of the MCA, PCA and also the total population (66.7–71.8% of LAA and 17.9–20.9% of CE). When patients had prior ischemic stroke history, ACA infarction was more likely to be caused by LAA than MCA or PCA infarction (OR = 6.2, 95% CI 2.0–19.2,
p
= 0.002 and OR = 4.0, 95% CI 1.1–14.6,
p
= 0.038, respectively).
Conclusions
Patients with ACA infarction had significantly more prior ischemic stroke than those with MCA, PCA, or VBA infarction. The etiology of ACA infarction in patients with prior ischemic stroke showed significantly more LAA than that of MCA or PCA infarction.</description><identifier>ISSN: 0340-5354</identifier><identifier>EISSN: 1432-1459</identifier><identifier>DOI: 10.1007/s00415-021-10904-z</identifier><identifier>PMID: 34783885</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cerebral blood flow ; Cerebral infarction ; Diuretics ; Epidemiology ; Etiology ; Ischemia ; Medicine ; Medicine & Public Health ; Neurology ; Neuroradiology ; Neurosciences ; Original Communication ; Patients ; Population studies ; Stenosis ; Stroke ; Veins & arteries</subject><ispartof>Journal of neurology, 2022-06, Vol.269 (6), p.2999-3005</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-f588abbb1b5a0dae155e18165f68df5beda60665133b90bbbb760e1e6128c84b3</citedby><cites>FETCH-LOGICAL-c375t-f588abbb1b5a0dae155e18165f68df5beda60665133b90bbbb760e1e6128c84b3</cites><orcidid>0000-0001-7071-1455</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00415-021-10904-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00415-021-10904-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34783885$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cho, Hyunji</creatorcontrib><creatorcontrib>Kim, Taewon</creatorcontrib><creatorcontrib>Kim, Young-Do</creatorcontrib><creatorcontrib>Na, Seunghee</creatorcontrib><creatorcontrib>Choi, Yun Ho</creatorcontrib><creatorcontrib>Song, In-Uk</creatorcontrib><creatorcontrib>Chung, Sung-Woo</creatorcontrib><creatorcontrib>Koo, Jaseong</creatorcontrib><creatorcontrib>Kwon, Hyeryung</creatorcontrib><creatorcontrib>Park, Jeong Hyun</creatorcontrib><creatorcontrib>Im, Hansol</creatorcontrib><title>A clinical study of 288 patients with anterior cerebral artery infarction</title><title>Journal of neurology</title><addtitle>J Neurol</addtitle><addtitle>J Neurol</addtitle><description>Objective
Acute ischemic stroke in the territory of anterior cerebral artery (ACA) is uncommon. Therefore, large population studies evaluating ACA infarction are scarce. We sought to evaluate epidemiological and etiological characteristics of ACA infarction compared to other territorial infarctions.
Methods
We analyzed a prospectively collected stroke registry of all acute ischemic stroke patients for 19 years at two tertiary hospitals. We included patients with acute ischemic stroke caused by large vessel stenosis or occlusion including ACA, middle cerebral artery (MCA), posterior cerebral artery (PCA), and vertebrobasilar artery (VBA).
Results
A total of 4171 patients were enrolled. Patients with ACA infarction (
N
= 288) were significantly older with more females than those with MCA, PCA, or VBA infarction. There were more patients with history of prior ischemic stroke in the ACA infarction group than in other groups. The etiology of the ACA infarction was similar to those of the MCA, PCA and also the total population (66.7–71.8% of LAA and 17.9–20.9% of CE). When patients had prior ischemic stroke history, ACA infarction was more likely to be caused by LAA than MCA or PCA infarction (OR = 6.2, 95% CI 2.0–19.2,
p
= 0.002 and OR = 4.0, 95% CI 1.1–14.6,
p
= 0.038, respectively).
Conclusions
Patients with ACA infarction had significantly more prior ischemic stroke than those with MCA, PCA, or VBA infarction. The etiology of ACA infarction in patients with prior ischemic stroke showed significantly more LAA than that of MCA or PCA infarction.</description><subject>Cerebral blood flow</subject><subject>Cerebral infarction</subject><subject>Diuretics</subject><subject>Epidemiology</subject><subject>Etiology</subject><subject>Ischemia</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosciences</subject><subject>Original Communication</subject><subject>Patients</subject><subject>Population studies</subject><subject>Stenosis</subject><subject>Stroke</subject><subject>Veins & arteries</subject><issn>0340-5354</issn><issn>1432-1459</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kE1LAzEQhoMoWqt_wIMEvHhZndl8bHosxY-C4EXPIdnNasp2tya7SPvrjbYqePA0MPPMO8NDyBnCFQIU1xGAo8ggxwxhAjzb7JERcpZnyMVkn4yAccgEE_yIHMe4AACVBofkiPFCMaXEiMyntGx860vT0NgP1Zp2Nc2VoivTe9f2kb77_pWatnfBd4GWLjgbEmxC6qypb2sTyt537Qk5qE0T3emujsnz7c3T7D57eLybz6YPWckK0We1UMpYa9EKA5VxKIRDhVLUUlW1sK4yEqQUyJidQAJtIcGhk5irUnHLxuRym7sK3dvgYq-XPpauaUzruiHqXEwUFAWXmNCLP-iiG0KbvtO5lLJAlgtIVL6lytDFGFytV8EvTVhrBP0pWm9F6yRaf4nWm7R0vose7NJVPyvfZhPAtkBMo_bFhd_b_8R-AOXoiGY</recordid><startdate>20220601</startdate><enddate>20220601</enddate><creator>Cho, Hyunji</creator><creator>Kim, Taewon</creator><creator>Kim, Young-Do</creator><creator>Na, Seunghee</creator><creator>Choi, Yun Ho</creator><creator>Song, In-Uk</creator><creator>Chung, Sung-Woo</creator><creator>Koo, Jaseong</creator><creator>Kwon, Hyeryung</creator><creator>Park, Jeong Hyun</creator><creator>Im, Hansol</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7071-1455</orcidid></search><sort><creationdate>20220601</creationdate><title>A clinical study of 288 patients with anterior cerebral artery infarction</title><author>Cho, Hyunji ; Kim, Taewon ; Kim, Young-Do ; Na, Seunghee ; Choi, Yun Ho ; Song, In-Uk ; Chung, Sung-Woo ; Koo, Jaseong ; Kwon, Hyeryung ; Park, Jeong Hyun ; Im, Hansol</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-f588abbb1b5a0dae155e18165f68df5beda60665133b90bbbb760e1e6128c84b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cerebral blood flow</topic><topic>Cerebral infarction</topic><topic>Diuretics</topic><topic>Epidemiology</topic><topic>Etiology</topic><topic>Ischemia</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosciences</topic><topic>Original Communication</topic><topic>Patients</topic><topic>Population studies</topic><topic>Stenosis</topic><topic>Stroke</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cho, Hyunji</creatorcontrib><creatorcontrib>Kim, Taewon</creatorcontrib><creatorcontrib>Kim, Young-Do</creatorcontrib><creatorcontrib>Na, Seunghee</creatorcontrib><creatorcontrib>Choi, Yun Ho</creatorcontrib><creatorcontrib>Song, In-Uk</creatorcontrib><creatorcontrib>Chung, Sung-Woo</creatorcontrib><creatorcontrib>Koo, Jaseong</creatorcontrib><creatorcontrib>Kwon, Hyeryung</creatorcontrib><creatorcontrib>Park, Jeong Hyun</creatorcontrib><creatorcontrib>Im, Hansol</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cho, Hyunji</au><au>Kim, Taewon</au><au>Kim, Young-Do</au><au>Na, Seunghee</au><au>Choi, Yun Ho</au><au>Song, In-Uk</au><au>Chung, Sung-Woo</au><au>Koo, Jaseong</au><au>Kwon, Hyeryung</au><au>Park, Jeong Hyun</au><au>Im, Hansol</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A clinical study of 288 patients with anterior cerebral artery infarction</atitle><jtitle>Journal of neurology</jtitle><stitle>J Neurol</stitle><addtitle>J Neurol</addtitle><date>2022-06-01</date><risdate>2022</risdate><volume>269</volume><issue>6</issue><spage>2999</spage><epage>3005</epage><pages>2999-3005</pages><issn>0340-5354</issn><eissn>1432-1459</eissn><abstract>Objective
Acute ischemic stroke in the territory of anterior cerebral artery (ACA) is uncommon. Therefore, large population studies evaluating ACA infarction are scarce. We sought to evaluate epidemiological and etiological characteristics of ACA infarction compared to other territorial infarctions.
Methods
We analyzed a prospectively collected stroke registry of all acute ischemic stroke patients for 19 years at two tertiary hospitals. We included patients with acute ischemic stroke caused by large vessel stenosis or occlusion including ACA, middle cerebral artery (MCA), posterior cerebral artery (PCA), and vertebrobasilar artery (VBA).
Results
A total of 4171 patients were enrolled. Patients with ACA infarction (
N
= 288) were significantly older with more females than those with MCA, PCA, or VBA infarction. There were more patients with history of prior ischemic stroke in the ACA infarction group than in other groups. The etiology of the ACA infarction was similar to those of the MCA, PCA and also the total population (66.7–71.8% of LAA and 17.9–20.9% of CE). When patients had prior ischemic stroke history, ACA infarction was more likely to be caused by LAA than MCA or PCA infarction (OR = 6.2, 95% CI 2.0–19.2,
p
= 0.002 and OR = 4.0, 95% CI 1.1–14.6,
p
= 0.038, respectively).
Conclusions
Patients with ACA infarction had significantly more prior ischemic stroke than those with MCA, PCA, or VBA infarction. The etiology of ACA infarction in patients with prior ischemic stroke showed significantly more LAA than that of MCA or PCA infarction.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>34783885</pmid><doi>10.1007/s00415-021-10904-z</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-7071-1455</orcidid></addata></record> |
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| issn | 0340-5354 1432-1459 |
| language | eng |
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| source | SpringerNature Journals |
| subjects | Cerebral blood flow Cerebral infarction Diuretics Epidemiology Etiology Ischemia Medicine Medicine & Public Health Neurology Neuroradiology Neurosciences Original Communication Patients Population studies Stenosis Stroke Veins & arteries |
| title | A clinical study of 288 patients with anterior cerebral artery infarction |
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