Dostovic Zikrija, Dostovic Ernestina, Smajlovic Dzevdet, Ibrahimagic Omer C, Avdic Leila
Department of Neurology, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina.
Department of Anesthesiology and Reanimation, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina.
Med Arch. 2016 Oct;70(5):339-341. doi: 10.5455/medarh.2016.70.339-341. Epub 2016 Oct 25.
To determine the incidence of brain edema after ischaemic stroke and its impact on the outcome of patients in the acute phase of ischaemic stroke.
We retrospectively analyzed 114 patients. Ischaemic stroke and brain edema are verified by computed tomography. The severity of stroke was determined by National Institutes of Health Stroke Scale. Laboratory findings were made during the first four days of hospitalization, and complications were verified by clinical examination and additional tests.
In 9 (7.9%) patients developed brain edema. Pneumonia was the most common complication (12.3%). Brain edema had a higher incidence in women, patients with hypertension and elevated serum creatinine values, and patients who are suffering from diabetes. There was no significant correlation between brain edema and survival in patients after acute ischaemic stroke. Patients with brain edema had a significantly higher degree of neurological deficit as at admission, and at discharge (p = 0.04, p = 0.004).
The cerebral edema is common after acute ischaemic stroke and no effect on survival in the acute phase. The existence of brain edema in acute ischaemic stroke significantly influence the degree of neurological deficit.
确定缺血性中风后脑水肿的发生率及其对缺血性中风急性期患者预后的影响。
我们回顾性分析了114例患者。通过计算机断层扫描证实缺血性中风和脑水肿。中风严重程度由美国国立卫生研究院卒中量表确定。在住院的前四天进行实验室检查，并通过临床检查和额外检查证实并发症。
9例（7.9%）患者发生脑水肿。肺炎是最常见的并发症（12.3%）。脑水肿在女性、患有高血压和血清肌酐值升高的患者以及患有糖尿病的患者中发生率更高。急性缺血性中风后患者脑水肿与生存率之间无显著相关性。有脑水肿的患者入院时和出院时神经功能缺损程度明显更高（p = 0.04，p = 0.004）。
急性缺血性中风后脑水肿常见，对急性期生存率无影响。急性缺血性中风时脑水肿的存在显著影响神经功能缺损程度。
