Etiopathogenetic and clinical features of ischemic stroke in the vertebrobasilar circulation

https://dx.doi.org/10.51350/zdravkg2022.4.10.20.143

Etiopathogenetic and clinical features of ischemic stroke in the vertebrobasilar circulation

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Abstract

Introduction. Stroke is a medical and social problem primarily because of it´s prevalence and the consequences that it causes. Stroke is the number one cause of disability worldwide. Ischemic strokes account for 80%, and strokes in the vertebrobasilar region -20%, the clinical picture of which may be unrecognized even in specialized departments. The aim of the study was to study the features of the etiopathogenesis and clinical picture of ischemic stroke in the vertebrobasilar region. Materials and Methods. We examined 106 patients with ischemic stroke in the vertebrobasilar region who received inpatient treatment at the National Hospital of the MZKR in the period from 2018 to 2022. When the patient was admitted, the time of onset of the disease, the presence of risk factors for stroke, the level of consciousness according scale Glasgow, neurological status according to the NIHSS scale (National Institutes of Health Stroke Scale), pathogenetic subtype of ischemic stroke according to TOAST, features of the clinical picture, ultrasound data of brachiocephalic vessels, neuroimaging. At discharge, an assessment was made according to the NIHSS, Rankin scales. Results. 1.Taking into account the onset of the disease, the presence of risk factors, the clinical picture of stroke, ultrasound data of brachiocephalic vessels, brain neuroimaging data, pathogenetic subtypes of ischemic stroke in the vertebrobasilar region were determined according to TOAST 2. When assessed using the Glasgow Coma Scale, NIHSS, and Rankin, mild and moderate strokes with a favorable functional outcome at discharge from the hospital predominated. 3. The clinical picture of ischemic stroke in the vertebrobasilar region did not always coincide with the focus of infarction during neuroimaging, which confirms the importance of the latter in the diagnosis of stroke. Conclusions. 1. Thus, ischemic strokes in the vertebrobasilar region are heterogeneous in terms of etiopathogenetic subtypes, clinical course, and outcomes according to the Rankin scale. 2. The clinical picture of stroke in the vertebrobasilar region may not coincide with the localization of cerebral infarction, so neuroimaging remains the standard for diagnosing stroke.

About the authors

Свердлова Ирина Александровна, ассистент кафедры неврологии и нейрохирургии Кыргызского государственного медицинского института переподготовки и повышения квалификации имени С. Б. Даниярова, Бишкек, Кыргызская Республика

Sverdlova Irina Alexandrovna, Assistant of the Department of Neurology and Neurosurgery of the Kyrgyz State Medical Institute for Retraining and Advanced Training named after S. B. Daniyarov, Bishkek, Kyrgyz Republic

Свердлова Ирина Александровна, С.Б. Данияров атындагы Кыргыз мамлекеттик кайра даярдоо жана квалификациясын жогорулатуу медициналык институтунун неврология жана нейрохирургия кафедрасынын ассистенти, Бишкек шаары, Кыргыз Республикасы

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https://doi.org/10.51350/zdravkg2021931290

Keywords

Ischemic stroke , vertebrobasilar circulation , NIHSS scale , Rankin scale , pathogenetic subtypes of ischemic stroke

Для цитирования

Свердлова И.А. Этиопатогенетические и клинические особенности ишемического инсульта в вертебро-базиллярном бассейне. ЗдравоохранениеКыргызстана 2022, № 4, с.143-148. https://dx.doi.org/10.51350/zdravkg2022.4.10.20.143

For citation

Sverdlova I.A.Etiopathogenetic and clinical features of is chemic stroke in the vertebrobasilar circulation. Health care
of Kyrgyzstan 2022, No.4, pp.143-148. https://dx.doi.org/10.51350/zdravkg2022.4.10.20.143

Цитата үчүн

Свердлова И.А. Вертебробазилярдык бассейндеги ишемиялык инсульттун этиопатогенетикалык жана клиникалык өзгөчөлүктөрү. Кыргызстандын саламаттык сактоо 2022, no 4, б. 143-148. https://dx.doi.org/10.51350/zdravkg2022.4.10.20.143

Authors Sverdlova I.A.

Link doi.org https://dx.doi.org/10.51350/zdravkg2022.4.10.20.143

Pages 143-148

Keywords Ischemic stroke, vertebrobasilar circulation, NIHSS scale, Rankin scale, pathogenetic subtypes of ischemic stroke

Russian

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Список литературы

1. https://szgmu.ru/rus/m/457/Северо-Западный государственный медицинский университет им И.И.Мечникова

https://doi.org/10.51350/zdravkg2021931290

Для цитирования