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Related Experiment Videos

Mass effect and atrophy after stroke.

E B Skriver1, T S Olsen, P McNair

  • 1Department of Neuroradiology, Hvidovre Hospital, University of Copenhagen, Denmark.

Acta Radiologica (Stockholm, Sweden : 1987)
|September 1, 1990
PubMed
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Ischemic stroke can cause cerebral edema and atrophy. Large infarcts frequently lead to significant mass effect and subsequent cerebral atrophy, impacting stroke recovery.

Area of Science:

  • Neurology
  • Radiology
  • Pathology

Background:

  • Ischemic stroke is a leading cause of disability.
  • Cerebral edema and atrophy are common complications following stroke.
  • Understanding the temporal evolution of these changes is crucial for patient management.

Purpose of the Study:

  • To prospectively evaluate the development and resolution of cerebral edema and atrophy after ischemic stroke.
  • To correlate infarct size with the extent of mass effect and subsequent atrophy.
  • To assess changes in specific CT-measured parameters indicative of edema and atrophy.

Main Methods:

  • Prospective study of 83 ischemic stroke patients.
  • Serial CT scans at 3 days, 2 weeks, and 6 months post-stroke.

Related Experiment Videos

  • Measurement of Evans' ratio (ER), septum-caudate distance (S/C), and widest cortical sulci (SuW) as markers of mass effect/atrophy.
  • Main Results:

    • Mass effect observed in 81% and atrophy in 58% of patients with large infarcts (diameter > 3 cm).
    • Mass effect occurred in 38% and atrophy in 45% of patients with medium-sized infarcts (1.5-3 cm).
    • Individual CT parameter changes became apparent when comparing serial scans, indicating evolving mass effect and atrophy.

    Conclusions:

    • Infarct size is a significant predictor of mass effect and subsequent cerebral atrophy.
    • Serial CT imaging is essential to detect evolving mass effect and atrophy post-stroke.
    • These findings highlight the importance of monitoring for edema and atrophy in stroke patients, particularly those with larger infarcts.