Improving Diagnostic Approaches to Predicting Stroke Complications

Introduction: This article provides a brief description of the possibility of using reversible cerebral vasoconstriction syndrome as a possible predictor of stroke development. As you know, the main subtypes of ischemic stroke are: atherothrombotic. Cardiogenic embolic, lacunar, hemodynamic, hemorheological. To date, the pathophysiological mechanisms of the development of stroke have not been fully studied, so the search for new diagnostic criteria that expand the clinical diagnosis of acute circulatory disorders remains an urgent issue in clinical neurology.

Materials and Methods: 36 patients aged 30 to 77 years (mean age 53.5 ± 11.4 years) were examined at the Department of Neurology of the ASMI. The diagnosis was made based on anamnestic information, the results of the clinical and neurological examination and MRI data in the T-1, T-2, T2-FLAIR, MPA modes.

Results: According to the results of the study, a mild stroke (NIHSS less than 7 points, Bartel index more than 75 points, mRS less than 2 points) was observed in 36% of subjects, moderate severity (NIHSS 7-14 points, Bartel index 70-60 points, mRS 2-3 points) in 52% of patients with severe severity (NIHSS more than 14 points, Barthel index less than 50 points, mRS - 4 points) in 12% of patients. In neurological status, in all patients, motor (contralateral hemiparesis or monoparesis and sensory disturbances in combination with impaired innervation of the facial and sublingual nerve were determined to vary degrees. Speech disorders in the form of aphasia and dysarthria, slightly expressed disorders of gnosis and praxis were also detected.

Conclusion: The most significant factors affecting the course and outcome of the disease in patients with stroke can be considered the presence of cerebral angiospasm.