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ARTICLE |

Prognostic Significance of Arteriography in Nonhemorrhagic Strokes FREE

Henry A. Shenkin, MD; Harold Haft, MD; Fredric M. Somach, MD
[+] Author Affiliations

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From the Department of Neurosurgery, Episcopal Hospital, Philadelphia.


JAMA. 1965;194(6):612-616. doi:10.1001/jama.1965.03090190034009
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One hundred and eighty-one patients with nonhemorrhagic strokes were classified clinically and arteriographically. Of 28 patients with completed strokes and no arteriographic abnormalities, 22 recovered within four weeks of the attack, but only 15 were in good condition two years later. Only 19 of the 41 patients with completed strokes and arteriograms showing generalized arteriosclerosis recovered within four weeks, and only 11 of 38 were well after two years. Patients with completed strokes and focal cervical arteriosclerosis had an immediate higher death rate, but otherwise their course was similar to the group of completed-stroke patients with generalized cerebrovascular disease. Patients with transient cerebral ischemic attacks (TIA) did even better. They did have a greater percentage of normal arteriograms, but even TIA patients with abnormal arteriograms did better than analogous groups with completed strokes.

REFERENCES

Brice, J.G.; Dowsett, D.J.; and Lowe, R.D.:  Haemodynamic Effects of Carotid Artery Stenosis , Brit Med J 2:1363-1366 ( (Nov 28) ) 1964;.
Robinson, R.W., et al:  Analysis of Survival After Cerebral Thrombosis: Ten Year Experience , JAMA 169:1149-1152 ( (March 14) ) 1959;.
Melville, I.D., and Renfrew, S.:  The Prognosis of Survival From Cerebrovascular Accidents , J Neurol Neurosurg Psychiat 24:346-349 ( (Nov) ) 1961;.
Eisenberg, H., et al:  Cerebrovascular Accidents , JAMA 189:883-888 ( (Sept 21) ) 1964;.
Marshall, J., and Kaeser, A.C.:  Survival After Non-Hemorrhagic Cerebrovascular Accidents , Brit Med J 2:73-77 ( (July 8) ) 1961;.
Howard, F.A., et al:  Survival Following Stroke , JAMA 183:921-925 ( (March 16) ) 1963;.
Acheson, J., and Hutchinson, E.C.:  Observations on the Natural History of Transient Cerebral Ischemia , Lancet 2:871-874 ( (Oct 24) ) 1964;.
Baker, R.N.; Schwartz, W.; and Rose, A.S.:  The Transient Ischemic Stroke: A Report of A Study and an Analysis of the Problem , Neurology 14:258 ( (March) ) 1964;.
Fazekas, J.F.; Alman, R.W.; and Sullivan, J.F.:  Vertebral-Basilar Insufficiency , Arch Neurol 8:215-20 ( (Feb) ) 1963;.
Whisnant, J.P., et al:  Results of Surgical Treatment of Incipient Stroke , Circulation 27:1028-1033 ( (June) ) 1963;.

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Brice, J.G.; Dowsett, D.J.; and Lowe, R.D.:  Haemodynamic Effects of Carotid Artery Stenosis , Brit Med J 2:1363-1366 ( (Nov 28) ) 1964;.
Robinson, R.W., et al:  Analysis of Survival After Cerebral Thrombosis: Ten Year Experience , JAMA 169:1149-1152 ( (March 14) ) 1959;.
Melville, I.D., and Renfrew, S.:  The Prognosis of Survival From Cerebrovascular Accidents , J Neurol Neurosurg Psychiat 24:346-349 ( (Nov) ) 1961;.
Eisenberg, H., et al:  Cerebrovascular Accidents , JAMA 189:883-888 ( (Sept 21) ) 1964;.
Marshall, J., and Kaeser, A.C.:  Survival After Non-Hemorrhagic Cerebrovascular Accidents , Brit Med J 2:73-77 ( (July 8) ) 1961;.
Howard, F.A., et al:  Survival Following Stroke , JAMA 183:921-925 ( (March 16) ) 1963;.
Acheson, J., and Hutchinson, E.C.:  Observations on the Natural History of Transient Cerebral Ischemia , Lancet 2:871-874 ( (Oct 24) ) 1964;.
Baker, R.N.; Schwartz, W.; and Rose, A.S.:  The Transient Ischemic Stroke: A Report of A Study and an Analysis of the Problem , Neurology 14:258 ( (March) ) 1964;.
Fazekas, J.F.; Alman, R.W.; and Sullivan, J.F.:  Vertebral-Basilar Insufficiency , Arch Neurol 8:215-20 ( (Feb) ) 1963;.
Whisnant, J.P., et al:  Results of Surgical Treatment of Incipient Stroke , Circulation 27:1028-1033 ( (June) ) 1963;.
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