Резюме
Актуальність. Мостові інсульти мають катастрофічні наслідки. Проте не опубліковано нових даних госпітальних проспективних когортних досліджень, у яких повідомляються й аналізуються клінічні й нейровізуалізаційні особливості нелакунарних мостових інсультів. Мета: дослідження спрямоване на визначення клінічних і нейровізуалізаційних особливостей нелакунарних мостових інсультів у госпітальному проспективному когортному дослідженні, яке проілюстровано серією клінічних випадків у дорослих білих європейців. Матеріали та методи. Ми проспективно набрали 120 пацієнтів із гострим інсультом вертебробазилярного басейну, підтвердженим магнітно-резонансною томографією, госпіталізованих до неврологічного центру університетської лікарні. Усім хворим проведено комплексне неврологічне, клінічне, лабораторне, ультразвукове й нейровізуалізаційне обстеження. Результати. Зі 120 дорослих пацієнтів (віком від 28 до 89 років) у 23 (19,2 %) було діагностовано нелакунарний інсульт моста. Проведено комплексний клінічний, неврологічний, лабораторний та інструментальний аналіз нелакунарних інсультів моста. Висновки. Ми подали всебічний огляд та аналіз клінічних особливостей нелакунарного мостового інсульту.
Background. Pontine strokes are catastrophic. However, no new data are published on the prospective hospital-based cohort studies that report and analyze clinical and imaging features of non-lacunar pontine stroke. This study aims to determine clinical and imaging features of non-lacunar pontine stroke in a prospective hospital-based cohort study, illustrated with a series of clinical cases presented in white European adults. Materials and methods. We prospectively recruited 120 acute MRI-positive posterior circulation stroke patients, admitted to the Neurological Center of the University Hospital. Complex neurological, clinical, laboratory, ultrasound, and imaging examinations were performed for all patients. Results. Out of 120 adult patients (aged 28 to 89 years), 23 (19,2 %) patients were diagnosed with non-lacunar pontine infarction, forming a study group. We provided a complex clinical, neurological, laboratory, and instrumental analysis of non-lacunar pontine infarction. Conclusions. We provided a comprehensive narrative review and analysis of the clinical features of non-lacunar pontine stroke.
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