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[Ischemic insult in the anterior and posterior cerebral circulation]

Dzevdet Smajlović1, Omer Ibrahimagić, Zikrija Dostović

  • 1Neuroloska klinika, Univerzitetski klinićki centar Tuzla, Medicinski fakultet Univerziteta u Tuzli.

Medicinski Arhiv
|October 8, 2003
PubMed

Insights

Anterior circulation strokes (ACS) comprise 81.8% of ischemic strokes, predominantly affecting females who are older on average. Hospital mortality for both anterior and posterior circulation strokes is similar, but higher in females.

Area of Science:

  • Neurology
  • Epidemiology
  • Vascular Medicine

Context:

  • Clinical classifications of ischemic stroke often distinguish between anterior and posterior cerebral circulation events.
  • Understanding the epidemiological characteristics of these stroke types is crucial for public health and clinical management.

Purpose:

  • To analyze the frequency, age and sex distribution, risk factors, and hospital mortality of anterior circulation stroke (ACS) versus posterior circulation stroke (PCS).

Summary:

  • This study analyzed 1772 acute ischemic stroke patients, finding ACS in 81.8% and PCS in 18.2%. Females were more prevalent and older in both groups. Hypertension, heart disease, and diabetes were common risk factors. Cortical lesions dominated ACS, while lacunar lesions were frequent in PCS. Hospital mortality was similar for ACS and PCS but significantly higher in females.

Impact:

  • The findings highlight the predominance of ACS and the increased vulnerability of females to stroke, irrespective of circulation type.
  • Identifies key risk factors and demographic trends in ischemic stroke, informing targeted prevention and treatment strategies.
  • Provides data on hospital mortality, underscoring the need for gender-specific considerations in stroke care and research.

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