Hemorrhagic infarction: risk factors, clinical and tomographic features, and outcome A case-control study |
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Authors: | E. Beghi G. Bogliun G. Cavaletti I. Sanguineti M. Tagliabue F. Agostoni I. Macchi |
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Affiliation: | General Hospital S. Gerardo, Monza, Milan, Italy. |
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Abstract: | A radiological diagnosis of hemorrhagic infarction (HI) was made in 41 of 2726 cases with cerebrovascular lesions (1.9%). The clinical records of the cases and those of 82 age- and gender-matched subjects with ischemic infarction were examined, and notes of the principal risk factors of cerebrovascular disorders, the clinico-radiologic features and the outcome of the disease were taken for comparison. Cardiac sources of emboli (atrial fibrillation, native or prosthetic valve disorders, recent myocardial infarction) were present in 44% of cases and in 24% of controls. Diabetes mellitus was recorded in 31% and 18% respectively. Thirteen percent of cases and 35% of controls gave a history of transient ischemic attacks. Stupor or coma during the acute phase and a more severe course were more common among cases. In general, HIs were significantly larger than ischemic infarcts, with mass-effect, although the size of the lesion did not seem to be related to the presence of cardiogenic embolism. |
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Keywords: | cerebrovascular disorders diagnosis etiology hemorrhagic infarction risk factors prognosis |
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