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Trial of ORG 10172 in Acute Stroke Treatment. Definitions for use in a multicenter clinical trial. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.Īdams HP, Jr, Bendixen BH, Kappelle LJ, Biller J, Love BB, Gordon DL, Marsh EE., III Classification of subtype of acute ischemic stroke. Information on vascular territory of a stroke lesion may be helpful in timely investigation and accurate diagnosis of stroke etiology.Ĭerebral infarction diffusion magnetic resonance imaging etiology location. Multiple-vascular-territory infarction was frequently caused by cardioembolism (44.2%) in carotid territory and by large-artery atherosclerosis (52.1%) in vertebrobasilar territory. Compared with carotid territory stroke, vertebrobasilar territory stroke was more likely to be caused by small vessel occlusion (21.4% versus 30.1%, P<0.001) and less likely to be caused by cardioembolism (23.2% versus 13.8%, P<0.001). Cardioembolism was the leading cause in superior cerebellar artery territory. Small vessel occlusion was the leading subtype in basilar and posterior cerebral artery territories. Large-artery atherosclerosis was the most common subtype for anterior cerebral, middle cerebral, vertebral, and anterior and posterior inferior cerebellar artery territory infarctions. Large-artery atherosclerosis (37.3%) was the most common stroke subtype, and middle cerebral artery (49.6%) was the most frequently involved territory. Stroke subtype was based on the Trial of ORG 10172 in Acute Stroke Treatment, or TOAST, classification. The vascular territory in which an ischemic lesion was situated was identified using standard anatomic maps of the dominant arterial territories.
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We studied a consecutive series of 2702 acute ischemic stroke patients whose stroke lesions were confirmed by diffusion-weighted imaging and who underwent a thorough etiological investigation. A diffusion-weighted imaging study may help resolve this lack of clarity. The association between the location and the mechanism of a stroke lesion remains unclear. 8 Department of Neurosurgery, Stroke Center, Seoul National University Bundang Hospital, College of Medicine, Seoul National University, Seoul, Republic of Korea (C.W.O.).7 Department of Radiology, Stroke Center, Seoul National University Bundang Hospital, College of Medicine, Seoul National University, Seoul, Republic of Korea (C.J., J.H.K.).6 Department of Neurology, Eulji University School of Medicine, Daejeon, Republic of Korea (Y.K.).5 Department of Neurology, Ewha Womens University Medical Center, Seoul, Republic of Korea (J.H.P.).
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Mary's Hospital, Pohang, Republic of Korea (S.H.P.). Information on volume licensing for commercial and educational organizations is available at 1 Department of Neurology, Stroke Center, Seoul National University Bundang Hospital, College of Medicine, Seoul National University, Seoul, Republic of Korea (J.W.C., M.H.Y., M.S.J., M.K.H., H.J.B.).
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