Presence of acute ischaemic lesions on diffusion-weighted imaging is associated with clinical predictors of early risk of stroke after transient ischaemic attack

Cerebrovascular Diseases

Volumn 24, Issue 1, 2007, Pages 86-90

  Redgrave, J N ^a   Schulz, U G ^a   Briley, D ^b   Meagher, T ^b   Rothwell, P M ^a  

^a RADCLIFFE INFIRMARY   (United Kingdom)

^b STOKE MANDEVILLE HOSPITAL   (United Kingdom)

Author keywords

Diffusion weighted imaging; Prognosis, stroke risk; Transient ischaemic attack

Indexed keywords

ABCD SCORE; ADULT; AGED; ARTICLE; BRAIN ISCHEMIA; CALIFORNIA SCORE; CLINICAL FEATURE; CLINICAL TRIAL; DIFFUSION WEIGHTED IMAGING; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; PREDICTIVE VALIDITY; PRIORITY JOURNAL; PROGNOSIS; RISK FACTOR; SCORING SYSTEM; STROKE; TRANSIENT ISCHEMIC ATTACK;

ACUTE DISEASE; AGED; AGED, 80 AND OVER; AMBULATORY CARE FACILITIES; BRAIN ISCHEMIA; CEREBROVASCULAR ACCIDENT; DIFFUSION MAGNETIC RESONANCE IMAGING; ENGLAND; FEMALE; HEALTH STATUS INDICATORS; HUMANS; ISCHEMIC ATTACK, TRANSIENT; MALE; MIDDLE AGED; ODDS RATIO; PREDICTIVE VALUE OF TESTS; PROGNOSIS; REPRODUCIBILITY OF RESULTS; RISK ASSESSMENT; RISK FACTORS; TIME FACTORS;

EID: 34347399823     PISSN: 10159770     EISSN: None     Source Type: Journal    
DOI: 10.1159/000103121     Document Type: Article

References (29)

1. Lovett JK, Dennis MS, Sandercock PA, Bamford J, Warlow CP, Rothwell PM: Very early risk of stroke after a first transient ischemic attack. Stroke 2003;34:e138-e140.
2. Hill MD, Yiannakoulias N, Jeerakathil T, Tu JV, Svenson LW, Schopflocher DP: The high risk of stroke immediately after transient ischemic attack: a population-based study. Neurology 2004;62:2015-2020.
3. Coull AJ, Lovett JK, Rothwell PM: Population based study of early risk of stroke after transient ischaemic attack or minor stroke: implications for public education and organisation of services. BMJ 2004;328:326.
4. Johnston SC, Gress DR, Browner WS, Sidney S: Short-term prognosis after emergency department diagnosis of TIA. JAMA 2000;284:2901-2906.
5. Rothwell PM, Giles MF, Flossmann E, et al: A simple score (ABCD) to identify individuals at high early risk of stroke after transient ischaemic attack. Lancet 2005;366:29-36.
6. Kidwell CS, Alger JR, Di Salle F, et al: Diffusion MRI in patients with transient ischemic attacks. Stroke 1999;30:1174-1180.
7. Crisostomo RA, Garcia MM, Tong DC: Detection of diffusion-weighted MRI abnormalities in patients with transient ischemic attack: correlation with clinical characteristics. Stroke 2003;34:932-937.
8. Coutts SB, Simon JE, Eliasziw M, et al: Triaging transient ischemic attack and minor stroke patients using acute magnetic resonance imaging. Ann Neurol 2005;57:848-854.
9. Purroy F, Montaner J, Rovira A, Delgado P, Quintana M, Alvarez-Sabin J: Higher risk of further vascular events among transient ischemic attack patients with diffusion-weighted imaging acute ischemic lesions. Stroke 2004;35:2313-2319.
10. Lovett JK, Coull AJ, Rothwell PM: Early risk of recurrence by subtype of ischemic stroke in population-based incidence studies. Neurology 2004;62:569-573.
11. Giles MF, Flossman E, Rothwell PM: Patient behavior immediately after transient ischemic attack according to clinical characteristics, perception of the event, and predicted risk of stroke. Stroke 2006;37:1254-1260.
12. Johnston SC, Fayad PB, Gorelick PB, et al: Prevalence and knowledge of transient ischemic attack among US adults. Neurology 2003;60:1429-1434.
13. Roberts TP, Rowley HA: Diffusion weighted magnetic resonance imaging in stroke. Eur J Radiol 2003;45:185-194.
14. Oppenheim C, Stanescu R, Dormont D, et al: False-negative diffusion-weighted MR findings in acute ischemic stroke. AJNR Am J Neuroradiol 2000;21:1434-1440.
15. World Health Organisation: Cerebrovascular diseases - Prevention, Treatment and Rehabilitation. Geneva, WHO, Tech Rep Ser No 469, 1971.
16. Schulz UG, Briley D, Meagher T, Molyneux A, Rothwell PM: Abnormalities on diffusion weighted magnetic resonance imaging performed several weeks after a minor stroke or transient ischaemic attack. J Neurol Neurosurg Psychiatry 2003;74:734-738.
17. Adams HP Jr, Bendixen BH, Kappelle LJ, et al: Classification of subtype of acute ischemic stroke: definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment. Stroke 1993;24: 35-41.
18. Koudstaal PJ, Gerritsma JG, van Gijn J: Clinical disagreement on the diagnosis of transient ischemic attack: is the patient or the doctor to blame? Stroke 1989;20:300-301.
19. Munoz MS, Bastin ME, Armitage PA, et al: Temporal evolution of water diffusion parameters is different in grey and white matter in human ischaemic stroke. J Neurol Neurosurg Psychiatry 2004;75:1714-1718.
20. Mukherjee P, Bahn MM, McKinstry RC, et al: Differences between gray matter and white matter water diffusion in stroke: diffusion-tensor MR imaging in 12 patients. Radiology 2000;215:211-220.
21. Albers GW, Caplan LR, Easton JD, et al: Transient ischemic attack - proposal for a new definition N Engl J Med 2002;347:1713-1716.
22. Ay H, Koroshetz WJ, Benner T, et al: Transient ischemic attack with infarction: a unique syndrome? Ann Neurol 2005;57:679-686.
23. Aoki T, Sato T, Hasegawa K, Ishizaki R, Saiki M: Reversible hyperintensity lesion on diffusion-weighted MRI in hypoglycemic coma. Neurology 2004;63:392-393.
24. Maekawa S, Aibiki M, Kikuchi K, Kikuchi S, Umakoshi K: Time related changes in reversible MRI findings after prolonged hypoglycemia Clin Neurol Neurosurg 2006;108:511-513.
25. Winbeck K, Bruckmaier K, Etgen T, von Einsiedel HG, Rottinger M, Sander D: Transient ischemic attack and stroke can be differentiated by analyzing early diffusion-weighted imaging signal intensity changes. Stroke 2004;35:1095-1099.
26. Hicdonmez T, Utku U, Turgut N, Cobanoglu S, Birgili B: Reversible postictal MRI change mimicking structural lesion. Clin Neurol Neurosurg 2003;105:288-290.
27. Coutts SB, Hill MD, Simon JE, Sohn CH, Scott JN, Demchuk AM: Silent ischemia in minor stroke and TIA patients identified on MR imaging. Neurology 2005;65:513-517.
28. Johnston SC, Rothwell PM, Nguyen-Huynh MN, Giles MF, Elkins JS, Bernskin AL, Sidney S: Validation and refinement of scores to predict very early stroke risk after transient ischaemic attack. Lancet 2007;369:283-292.
29. Rothwell PM, Mehta Z, Howard SC, Gutnikov SA, Warlow CP: From subgroups to individuals: general principles and the example of carotid endarterectomy Lancet 2005;365:256-265.