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Brain Infarction Severity Differs According to Cardiac or Arterial Embolic Source Neurol 43:728-733, Timsit,S.G.,et al, 1993 See this aricle in Pubmed Article Abstract We compared clinical and radiologic features between 246 cardiac embolism (EMB)and 66 arterial embolic(tandem arterial pathology[TAP])patients selected from 1,273 patients with cerebral infarction in the Stroke Data Bank.Diagnostic definitions accounted for the increased frequency of cardiac disease among patients with EMB compared with TAP(78.4%versus 29. 3%),while transient ischemic attacks(32.3%versus 13.3%)and carotid artery bruit(15.5%versus 3.3%)were more prevalent in TAP than in EMB.Multiple logistic regression differentiated alone(odds ratio[OR]=4.6;95%CI=1.5 to 13.7)or by a higher admission hematocrit.The probability of EMB was greater in patients with an initial decreased consciousness(OR=39.2%;95% CI=4.0 to 381.3)or with an abnormal first CT(OR=3.2;95%CI=1.2 to 8.6). These findings indicate that the two infarct subtypes differ in the location and extent of the cortical infarction,which argues for a smaller particle size,with smaller and more distal infarction in embolism from an arterial source compared with cardiogenic embolism.

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(click to filter results - removes previous filter) CAT scan CAT scan,abnormal cerebral embolism cerebral embolism,cardiac origin cerebrovascular accident cerebrovascular accident,vascular territory involved cerebrovascular accident,volume embolism

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