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Lacunar stroke in patients with intermittent claudication.
A Arboix1, L García-Eroles, J Massons
1Cerebrovascular Division, Department of Neurology, Hospital del Sagrat Cor, Barcelona, Spain. aarboix@hscor.com
Acta Neurologica Scandinavica
|March 3, 2005
Summary
Lacunar stroke (LS) patients with intermittent claudication share similar risk factors and clinical features to those without the condition. Early neurological recovery is common in these LS patients.
Area of Science:
- Neurology
- Vascular Medicine
Background:
- Lacunar stroke (LS) is a common type of ischemic stroke.
- Intermittent claudication is a symptom of peripheral artery disease.
Purpose of the Study:
- To compare the characteristics of lacunar stroke (LS) in patients with and without intermittent claudication.
Main Methods:
- Prospective data collection from 484 LS patients within a larger stroke registry of 2500 patients.
- Multivariate analysis to identify independent variables associated with LS in patients with intermittent claudication.
Main Results:
- 39 out of 142 patients (27.5%) with ischemic stroke and intermittent claudication had LS, representing 8% of all lacunar strokes.
- Small centrum ovale topography, carotid stenosis >50%, and absence of limitation at discharge were significantly associated with LS in patients with intermittent claudication.
Conclusions:
- Lacunar stroke patients with intermittent claudication exhibit similar risk factors and clinical presentations to those without intermittent claudication.
- The short-term prognosis for LS is favorable, with over 50% experiencing spontaneous early neurological recovery.