Demographics and risk factors for recurrent ischemic stroke in Aegean part of Turkey

Abstract

WCN 2013 No: 361 Topic: 3 — Stroke Demographics and risk factors for recurrent ischemic stroke in Aegean part of Turkey Y. Secil, Y. Ciftci, Y. Beckmann. Neurology, Izmir Katip Celebi University, Ataturk Education and Research Hospital, Izmir, Turkey Background: Recurrent stroke is defined as a new cerebrovascular event which occurs after the stabilization of the previous stroke. Recurrence of stroke increases likelihood of disability–mortality associated with stroke. Systematic evaluation of stroke cases can help to reduce the risk of recurrence. Objective: In order to predict ischemic strokes which carry the risk of recurrence, our study aimed to compare data related to risk factors, stroke type, etiology and disability–mortality rates associated with stroke. Material and method: Our study including patients with recurrent ischemic stroke admitted to our hospital Neurology department between February 2010 and June 2011. Information about previous strokes and demographics were recorded. Risk factors were classified. Disability–mortality rates and secondary prevention treatment at recurrent stroke onset were evaluated. Results: 151 patients with recurrent ischemic stroke were included in our study. The mean age was 71.35 ± 12.06. The most frequent risk factors were hypertension, hyperlipidemia, coronary artery disease and atrial fibrillation. The most frequent recurrence etiology was cardiac embolic events. 53.2% of patients were receiving antiplatelet, 10.4% of patients were receiving anticoagulation therapy. 26.5% of patients died. The mean of modified Rankin score of patients was significantly higher at the recurrent ischemic stroke than the previous ischemic stroke. Conclusion:Knowing the etiological factor can help to predict recurrence of stroke and prevent death. Effective treatment ofmodifiable risk factors in recurrent stroke groups is very important in primary and secondary stroke prevention. Recurrent stroke prevention is very important in prognosis, disability and financial basis all around the world. doi:10.1016/j.jns.2013.07.676 Abstract — WCN 2013 No: 292 Topic: 3 — Stroke Clinicoradiological localization of language dysfunctions in acute ischemic brain attack WCN 2013 No: 292 Topic: 3 — Stroke Clinicoradiological localization of language dysfunctions in acute ischemic brain attack M.H. Ibrahim. Neurology, GMC & GMU University, Ajman, United Arab Emirates Objective: The aim of the study was to study the effect of cerebral ischemic vascular insult on the localization of language areas as regard automatic speech, initiation and mutism. Materials and methods: Seventy ischemic stroke patients selected within the first 48 h of the onset of stroke with left hemispheric stroke with aphasia. Inclusion criteria: At any age above seven years, both sexes, first ever clinical stroke, admittedwithin the first 2 days of stroke insult. Patients underwent careful history taking, neurological examination, routine laboratory investigations, echocardiography, carotid duplex and language assessments. Results: Automatic speech disorders were seen in (76%) patients and their MRI lesion distribution showed lesions within the deep periventricular white matter and anterior Perisylvian regions and other areas. Initial difficulty was with lesions in deep periventricular white matter, and other areas. Mutism significantly correlated with lesions in temporal mid-area, external capsule and other areas. Conclusions: Deep periventricular white matter and insular area in the dominant hemisphere play an important role in many language tasks. Thus aphasia is not a mere cortical function. doi:10.1016/j.jns.2013.07.677 Abstract — WCN 2013 No: 388 Topic: 3 — Stroke How accurate are clinicians when estimating stroke outcomes? Results from the Jurassic randomized study WCN 2013 No: 388 Topic: 3 — Stroke How accurate are clinicians when estimating stroke outcomes? Results from the Jurassic randomized study G. Saposnik, R. Cote, R. Raptis, M. Mamdani, K. Thorpe, J. Fang, D. Redelmeier, L.B. Goldstein JURASSIC Study Group University of Toronto, Toronto, Canada; McGill University, Montreal, Canada; St Michael's Hospital, Toronto ON, Canada; Institute for Clinical Evaluative Sciences (ICES), Toronto ON, Canada; DukeUniversity, Durham