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Brain Edema After Ischaemic Stroke.

Zikrija Dostovic1, Ernestina Dostovic2, Dzevdet Smajlovic1

  • 1Department of Neurology, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina.

Medical Archives (Sarajevo, Bosnia and Herzegovina)
|December 21, 2016
PubMed
Summary
This summary is machine-generated.

Brain edema is common after acute ischemic stroke, affecting nearly 8% of patients. While it does not impact survival, it significantly worsens neurological deficits.

Keywords:
edemaischaemic strokeoutcome

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Area of Science:

  • Neurology
  • Neurosurgery
  • Radiology

Background:

  • Ischemic stroke is a leading cause of death and disability worldwide.
  • Brain edema is a potential complication of ischemic stroke, but its incidence and impact require further clarification.

Purpose of the Study:

  • To determine the incidence of brain edema following ischemic stroke.
  • To assess the impact of brain edema on patient outcomes during the acute phase of ischemic stroke.

Main Methods:

  • Retrospective analysis of 114 patients diagnosed with ischemic stroke.
  • Computed tomography (CT) scans used to verify ischemic stroke and brain edema.
  • National Institutes of Health Stroke Scale (NIHSS) assessed stroke severity.
  • Laboratory findings and clinical examinations monitored complications.

Main Results:

  • Brain edema occurred in 7.9% of patients.
  • Pneumonia was the most frequent complication (12.3%).
  • Higher incidence of brain edema observed in women, hypertensive patients, those with elevated creatinine, and diabetics.
  • No significant correlation found between brain edema and survival.
  • Patients with brain edema exhibited significantly higher neurological deficits at admission and discharge.

Conclusions:

  • Cerebral edema is a common occurrence after acute ischemic stroke.
  • Brain edema does not influence survival in the acute phase.
  • Brain edema significantly impacts the severity of neurological deficits in acute ischemic stroke patients.