Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Headache and ultrasound parameters arteriovenous ratio – additional importantfactors of stroke diagnostic

Authors: E.A. Zhuchkova, S.E. Semenov

Company:
Research Institute for Complex Issues of Cardiovascular Diseases, Sosnovyy bul’var, 6, Kemerovo, 650002, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

Link: Clinical Physiology of Blood Circulaiton. 2015; (): -

Quote as: Zhuchkova E.A., Semenov S.E.. Headache and ultrasound parameters arteriovenous ratio – additional important factors of stroke diagnostic. Klinicheskaya Fiziologiya Krovoobrashcheniya (Clinical Physiology of Circulation, Russian journal). 2015; 2: 30-35 (in Russ.)

Full text:  

Abstract

Objective – to investigate the prognostic significance of the complex clinical and demographic factors and tools to develop models of the early differential diagnosis kind of stroke.

Material and methods . The study included 124 patients with stroke. Everyone was standardized clinical and instrumental examined with the use of neuroimaging, ultrasound scanning brachiocephalic and intracranial arteries and venous structures with arteriovenous ratio calculation index of cerebral blood flow. To assess neurological status of patients some rating scales were used, including a visual analog scale to determine the severity of the headache.

Results . The most predictive value had such indicators as parameter of ultrasound arteriovenous ratio of cerebral blood flow and the value of headache’s visual analogue scale. A model was developed differential diagnosis kind of strokes has high specificity and sensitivity.

Conclusion . Allocated significant criteria of differential diagnosis of arterial and venous genesis ischemic stroke: an increase of headaches visual analog scale means to 4 points and above, as well as the achievement brachiocephalic arteriovenous blood flow ratio index to 50% or less are signs of venous stroke associated with cerebral venous sinusthrombosis. These simple, safety and cost-effective methods are easily repeatable and do not require too much time.

References

  1. Бокерия Л.А., Гудкова Р.Г. Сердечно-сосудистая хирургия – 2010. Болезни и врожденные аномалии системы кровообращения. М.: НЦССХ им. А.Н. Бакулева РАМН; 2011.
  2. ГОСТ Р 52600.5-2008. Протокол ведения больных. Инсульт. Национальный стандарт Российской Федерации. М.: Стандартинформ; 2009.
  3. Кротенкова М.В. Диагностика острого инсульта: нейровизуализационные алгоритмы: Автореф. дис. … д-ра мед. наук. М.; 2011.
  4. Корниенко В.Н., Пронин И.Н. Диагностическая нейрорадиология. М.; 2006.
  5. Murphy B.D., Fox A.J., Lee D.H., Sahlas D.J., Black S.E., Hogan M.J. et al. Identification of penumbra and infarct in acute ischemic stroke using computed tomography perfusionderived blood flow and blood volume measurements. Stroke. 2006; 37 (7): 1771–7.
  6. Сергеев Д.В., Суслин А.С., Кротенкова М.В., Пирадов М.А. Оценка церебральной перфузии при ишемическом инсульте. Неотложные состояния в неврологии: Тру- ды II Национального конгресса. М.; 2011.
  7. Parsons M.W. Perfusion CT: is it clinically useful? Intern. J. Stroke. 2008; 3: 41–50.
  8. Wasay M., Bakshi R., Kojan S., Sheikh Z., Dai A., Cheema Z. Cerebral venous thrombosis: analysis of a multicenter cohort from the United States. Stroke Cerebrovasc. Dis. 2008; 17: 49–54.
  9. Семенов С.Е., Молдавская И.В., Семенов А.С., Барбараш Л.С. Критерии МР- и КТ-дифференциальной диагностики венозного и артериального инсульта. Мед. визу- ализация. 2010; 6: 41–9.
  10. Семенов С.Е., Молдавская И.В., Коваленко А.В., Хромов А.А., Хромова А.Н., Жучкова Е.А. и др. Оценка рутинных топоморфометрических критериев мультиспиральной компьютерной томографии и магнитно-резонансной томографии в диагностике негеморрагического инсульта, вызванного церебральным венозным тромбозом. Клин. физиол. кровообр. 2013; 3: 37–45.
  11. Palena L.M., Toni F., Piscitelli V., Maffei M., Leonardis M. CT diagnosis of cerebral venous thrombosis: importance of the first examination for fast treatment. Neuroradiol. J. 2009; 22: 137–49.
  12. Шумилина М.В. Комплексная ультразвуковая диагностика патологии периферических сосудов. Учебно-методическое руководство. 2-е изд., доп. М.: НЦССХ им. А.Н. Бакулева РАМН; 2012.
  13. Saposnik G., Barinagarrementeria F., Brown R.D., Bushnell C.D., Cucchiara B., Cushman M. et al. Diagnosis and management of cerebral venous thrombosis: a statement for healthcare professionals from the American Heart Association. Stroke. 2011; 42: 1158–92.
  14. Вольф К.Ю. Лучевая диагностика. Артерии и вены. М.: МЕДпресс-информ; 2011.
  15. Masdeu J.C., Irimia P., Asenbaum S., Bogousslavsky J., Brainin M., Chabriat H. et al. EFNS guideline on neuroimaging in acute stroke. Report of an EFNS task force. Eur. J. Neuroradiol. 2006; 13: 1271–83.

 If you found mistakes, select text and press Alt+A