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Clinical and Biochemical Analysis in Infection-Associated Stroke
Stroke 26:1520-1526, Grau,A.J.,et al, 1995
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Article Abstract
In patients with recent infection compared with patients without infection,the neurological deficit on admission was most severe(median of scores,41 versus 30.5;P<.005),cortical infarcts in the middle cerebral artery territory were more frequent(60%versus 26%;P<.05),the prevalence of extracranial artery stenosis was lower(9%versus 26%;P<.05)and definite or presumed cardioembolic stroke was more frequent(34%versus 19%;P<.05),as was stroke from cervical artery dissection(8%versus 1.3%;P=.05).Serum levels of C-reactive protein were higher in patients with(20.7+/-23.7 mg/ L;P<.01)than in those without infection(9.2+/-23.7 mg/L;P<.01).Recent infection may be associated with a more severe postischemic deficit and with an increased risk of stroke from cardioembolic origin and from cervical arterial dissection.
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arterial dissection
arterial dissection,carotid
bacterial infection
cerebral embolism
cerebral embolism,cardiac origin
cerebrovascular accident
cerebrovascular accident,prevention of
cerebrovascular disease,risk factors in
prevention of neurologic disorders
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risk factors
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