Annals of Indian Academy of Neurology
ORIGINAL ARTICLE
Year
: 2018  |  Volume : 21  |  Issue : 3  |  Page : 197--202

Significance of multiple acute ischemic lesions on initial diffusion-weighted imaging in stroke patients and relation of toast classification


Ufuk Sener1, Levent Ocek1, Irem Ilgezdi1, Hilal Sahin2, Murat Ozcelik1, Yasar Zorlu1 
1 Department of Neurology, Izmir Tepecik Training and Research Hospital, Izmir, Turkey
2 Department of Radiology, Izmir Tepecik Training and Research Hospital, Izmir, Turkey

Correspondence Address:
Dr. Ufuk Sener
Department of Neurology, Izmir Tepecik Training and Research Hospital, Izmir
Turkey

Background: It is important to know whether or not the stroke risk factors and etiologies of patients with multiple acute infarcts are different to those of patients with a single acute infarct. Aim: The frequency of multiple acute infarct was investigated in ischemic stroke patients and a comparison was made of the characteristics of stroke patients with and without multiple acute infarct. Patients and Methods: We reviewed the clinical records of 988 ischemic stroke patients who were admitted within 1 week of the onset of stroke and diffusion-weighted imaging (DWI) was performed on first presentation. The clinical characteristics, laboratory, and imaging results were noted from the patient records. According to the DWI findings, the patients were separated into three groups as those with a single acute infarct in a single vascular territory (SI group), those with multiple acute infarcts in a single vascular territory (SMI group) and those with multiple acute infarcts in multiple vascular (MMI group) territories. The frequency of multiple acute infarcts was investigated, and a comparison was made of the characteristics of stroke patients with and without multiple acute infarcts. Results: The SMI group included 119 (12%) patients and the MMI group 126 (12.8%). The most common mechanisms of multiple acute infarcts are large artery atherosclerosis and cardiac origin emboli. Moreover, the risk factors most determined were hypertension, diabetes mellitus, and hyperlipidemia in the MMI group. Conclusion: No difference was determined between the groups in respect of stroke etiology and risk factors.


How to cite this article:
Sener U, Ocek L, Ilgezdi I, Sahin H, Ozcelik M, Zorlu Y. Significance of multiple acute ischemic lesions on initial diffusion-weighted imaging in stroke patients and relation of toast classification.Ann Indian Acad Neurol 2018;21:197-202


How to cite this URL:
Sener U, Ocek L, Ilgezdi I, Sahin H, Ozcelik M, Zorlu Y. Significance of multiple acute ischemic lesions on initial diffusion-weighted imaging in stroke patients and relation of toast classification. Ann Indian Acad Neurol [serial online] 2018 [cited 2019 Oct 18 ];21:197-202
Available from: http://www.annalsofian.org/article.asp?issn=0972-2327;year=2018;volume=21;issue=3;spage=197;epage=202;aulast=Sener;type=0