NDLI: Discrimination of acute ischemic stroke from nonischemic vertigo in patients presenting with only imbalance.

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Discrimination of acute ischemic stroke from nonischemic vertigo in patients presenting with only imbalance.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Honda, Shoji Inatomi, Yuichiro Yonehara, Toshiro Hashimoto, Yoichiro Hirano, Teruyuki Ando, Yukio Uchino, Makoto
Description	Author Affiliation: Honda S ( Department of Neurology, Stroke Center, Saiseikai Kumamoto Hospital); Inatomi Y ( Department of Neurology, Stroke Center, Saiseikai Kumamoto Hospital.); Yonehara T ( Department of Neurology, Stroke Center, Saiseikai Kumamoto Hospital.); Hashimoto Y ( Department of Neurology, Kumamoto City Hospital.); Hirano T ( Department of Neurology, Faculty of Life Sciences, Kumamoto University.); Ando Y ( Department of Neurology, Faculty of Life Sciences, Kumamoto University.); Uchino M ( Department of Neurology, Jonan Hospital, Kumamoto, Japan.)
Abstract	Some patients who present with an acute feeling of imbalance are experiencing an ischemic stroke that is not evident on computed tomography (CT) scans. The aim of this study was to compare ischemic stroke and nonischemic vertigo patient groups and to investigate independent factors associated with ischemic stroke. We examined 332 consecutive patients with an acute feeling of imbalance who showed no neurologic findings or responsible lesions on CT scan at the hyperacute phase. We examined their clinical backgrounds, physical findings, and laboratory examinations, with ischemic stroke diagnosed by later CT and/or magnetic resonance imaging (MRI). We identified 41 (12.3%) ischemic stroke patients. Atrial fibrillation (odds ratio 4.1; 95% confidence interval 1.4-11.5), white blood cell count (10(3)/µL, 1.4; 1.2-1.6), head and/or neck pain (4.6; 2.1-10.3), first attack of imbalance feeling (3.3; 1.1-12.2), and dizziness (3.7; 1.7-8.3) were significant and independent factors associated with ischemic stroke among patients with an acute feeling of imbalance. We used these factors to calculate an 'imbalance score'; 1 point was given for the presence of each factor and a score of 3-5 points was independently associated with ischemic stroke. An awareness of these factors may indicate that further examinations including MRI are necessary to rule out ischemic stroke.
File Format	HTM / HTML
ISSN	10523057
Issue Number	5
Volume Number	23
e-ISSN	15328511
Journal	Journal of Stroke and Cerebrovascular Diseases
Language	English
Publisher	Elsevier
Publisher Date	2014-05-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Brain Ischemia Comparative Study Humans Middle Aged Male Predictive Value Of Tests Vertigo Journal Article Etiology Discipline Cardiology Female Diagnosis Stroke Diagnosis, Differential Complications Risk Factors Tomography, X-ray Computed Aged, 80 And Over Sensation Disorders Physiopathology Diagnostic Imaging Diffusion Magnetic Resonance Imaging Aged Postural Balance Methods
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Neurology (clinical) Surgery Cardiology and Cardiovascular Medicine

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