Clinical and paraclinical criteria for prognosis of the hemorrhagic transformation of hemispheric cerebral infarction and its influence on the outcome of the acute period of the disease

Standardizated criteria for predicting hemorrhagic transformation of cerebral infarction are currently absent. Aim. With the aim to determine predictors of hemorrhagic transformation of hemispheric cerebral infarction and its influence on the outcome of the acute period of disease clinical and pa...

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Main Authors: O. A. Kozyolkin, A. A. Kuznietsov, N. I. Voevodin
Format: Article
Language:English
Published: Zaporizhzhia State Medical and Pharmaceutical University 2015-06-01
Series:Zaporožskij Medicinskij Žurnal
Subjects:
Online Access:http://zmj.zsmu.edu.ua/article/view/44492/42748
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author O. A. Kozyolkin
A. A. Kuznietsov
N. I. Voevodin
author_facet O. A. Kozyolkin
A. A. Kuznietsov
N. I. Voevodin
author_sort O. A. Kozyolkin
collection DOAJ
description Standardizated criteria for predicting hemorrhagic transformation of cerebral infarction are currently absent. Aim. With the aim to determine predictors of hemorrhagic transformation of hemispheric cerebral infarction and its influence on the outcome of the acute period of disease clinical and paraclinical examination of 135 patients with acute cerebral ischemic supratentorial stroke was done. Methods and results. It was detected that the combination of atrial fibrillation and type 2 diabetes were associated with increased risk of hemorrhagic transformation. A mathematical model for hemorrhagic transformation predicting was elaborated. It takes into account the value of the total score according to the National Institutes of Health in the onset of the disease, blood glucose levels in admission period and the volume of the lesion. Conclusion. It was proved that parenchymal hematoma is criteria of unfavorable vital outcome prognosis of the acute period of cerebral supratentorial ischemic stroke.
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publishDate 2015-06-01
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record_format Article
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spelling doaj-art-1f00174bd35d4ef59d9d9d772c468d9c2025-08-20T03:17:35ZengZaporizhzhia State Medical and Pharmaceutical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102015-06-0137377http://dx.doi.org/10.14739/2310-1210.2015.3.44492Clinical and paraclinical criteria for prognosis of the hemorrhagic transformation of hemispheric cerebral infarction and its influence on the outcome of the acute period of the diseaseO. A. Kozyolkin A. A. KuznietsovN. I. VoevodinStandardizated criteria for predicting hemorrhagic transformation of cerebral infarction are currently absent. Aim. With the aim to determine predictors of hemorrhagic transformation of hemispheric cerebral infarction and its influence on the outcome of the acute period of disease clinical and paraclinical examination of 135 patients with acute cerebral ischemic supratentorial stroke was done. Methods and results. It was detected that the combination of atrial fibrillation and type 2 diabetes were associated with increased risk of hemorrhagic transformation. A mathematical model for hemorrhagic transformation predicting was elaborated. It takes into account the value of the total score according to the National Institutes of Health in the onset of the disease, blood glucose levels in admission period and the volume of the lesion. Conclusion. It was proved that parenchymal hematoma is criteria of unfavorable vital outcome prognosis of the acute period of cerebral supratentorial ischemic stroke.http://zmj.zsmu.edu.ua/article/view/44492/42748Brain InfarctionCerebral HemorrhagePrognosis
spellingShingle O. A. Kozyolkin
A. A. Kuznietsov
N. I. Voevodin
Clinical and paraclinical criteria for prognosis of the hemorrhagic transformation of hemispheric cerebral infarction and its influence on the outcome of the acute period of the disease
Zaporožskij Medicinskij Žurnal
Brain Infarction
Cerebral Hemorrhage
Prognosis
title Clinical and paraclinical criteria for prognosis of the hemorrhagic transformation of hemispheric cerebral infarction and its influence on the outcome of the acute period of the disease
title_full Clinical and paraclinical criteria for prognosis of the hemorrhagic transformation of hemispheric cerebral infarction and its influence on the outcome of the acute period of the disease
title_fullStr Clinical and paraclinical criteria for prognosis of the hemorrhagic transformation of hemispheric cerebral infarction and its influence on the outcome of the acute period of the disease
title_full_unstemmed Clinical and paraclinical criteria for prognosis of the hemorrhagic transformation of hemispheric cerebral infarction and its influence on the outcome of the acute period of the disease
title_short Clinical and paraclinical criteria for prognosis of the hemorrhagic transformation of hemispheric cerebral infarction and its influence on the outcome of the acute period of the disease
title_sort clinical and paraclinical criteria for prognosis of the hemorrhagic transformation of hemispheric cerebral infarction and its influence on the outcome of the acute period of the disease
topic Brain Infarction
Cerebral Hemorrhage
Prognosis
url http://zmj.zsmu.edu.ua/article/view/44492/42748
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AT aakuznietsov clinicalandparaclinicalcriteriaforprognosisofthehemorrhagictransformationofhemisphericcerebralinfarctionanditsinfluenceontheoutcomeoftheacuteperiodofthedisease
AT nivoevodin clinicalandparaclinicalcriteriaforprognosisofthehemorrhagictransformationofhemisphericcerebralinfarctionanditsinfluenceontheoutcomeoftheacuteperiodofthedisease