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Haritonova T.V.

Dzhanelidze St. Petersburg Research Institute of Emergency Medicine, St. Petersburg, Russia

Vozniuk I.A.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Polushin A.Yu.

Gorbacheva Research Institute Oncology, Hematology and Transplantology, St. Petersburg, Russia;
Pavlov First St. Petersburg State Medical University Ministry of Health of the Russian Federation, St. Petersburg, Russia

Clinical diagnosis of proximal occlusion of a major cerebral artery in the very early stage of ischemic stroke

Authors:

Haritonova T.V., Vozniuk I.A., Polushin A.Yu.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2017;117(8‑2): 13‑19

DOI: 10.17116/jnevro20171178213-19

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Table of contents

CLINICAL DIAGNOSIS OF PROXIMAL OCCLUSION OF A MAJOR CEREBRAL ARTERY IN THE VERY EARLY STAGE OF ISCHEMIC STROKE
CLINICAL DIAGNOSIS OF PROXIMAL OCCLUSION OF A MAJOR CEREBRAL ARTERY IN THE VERY EARLY STAGE OF ISCHEMIC STROKE

To cite this article:

Haritonova TV, Vozniuk IA, Polushin AYu. Clinical diagnosis of proximal occlusion of a major cerebral artery in the very early stage of ischemic stroke. S.S. Korsakov Journal of Neurology and Psychiatry. 2017;117(8‑2):13‑19. (In Russ.)
https://doi.org/10.17116/jnevro20171178213-19

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))
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Abstract:

Objective. To find clinical criteria applied in the first hours of disease for the identification of severe ischemic stroke caused by an occlusion of proximal major arteries. Material and methods. The authors have analyzed 133 medical histories of patients with the diagnosis of acute cerebral blood circulation disorder admitted in the first 6 h from onset. All patients underwent CT-angiography or digital subtraction angiography. Occlusion of the inner carotid artery, occlusion of M1-segment of the middle cerebral artery and occlusion of a major artery were considered as proximal occlusion of major cerebral arteries. Neurological status was assessed by the signs of proximal arterial occlusion (PAO). Results and сonclusion. Checking of 5 PAO symptoms allows the prediction of occlusion location in approximately 80% of cases. Presence of ≥3 out of 5 symptoms is characterized by 70% sensitivity and 90% specificity with regard to the occlusion of the inner carotid artery, M1-segment of the middle cerebral artery and/or a major artery. Predictive value of this model should be verified in a prospective study.

Keywords:

ischemic stroke
routing of the patient
acute cerebral blood circulation
proximal arterial occlusion

Authors:

Haritonova T.V.

Dzhanelidze St. Petersburg Research Institute of Emergency Medicine, St. Petersburg, Russia

Vozniuk I.A.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Polushin A.Yu.

Gorbacheva Research Institute Oncology, Hematology and Transplantology, St. Petersburg, Russia;
Pavlov First St. Petersburg State Medical University Ministry of Health of the Russian Federation, St. Petersburg, Russia

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