The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome

özözen ayas, zeynep; Asil, Erem; KOTAN, DILCAN

doi:10.31832/smj.937034

The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome

Zeynep ÖZÖZEN AYAS, (Eskişehir Şehir Hastanesi, Nöroloji Bölümü, Eskişehir, Türkiye)

Dılcan KOTAN, (Sakarya Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Sakarya, Türkiye)

Erem ASİL (Sakarya Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, Sakarya, Türkiye)

Sakarya Tıp Dergisi

3 2

Yıl: 2021 Cilt: 11 Sayı: 3 Sayfa Aralığı: 639 - 646 Metin Dili: İngilizce DOI: 10.31832/smj.937034 İndeks Tarihi: 27-03-2023

The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome

Öz:

Objective The ‘top of the basilar syndrome’ (TOBS) may occur when an embolus impacts in the distal basilar artery. We aimed to investigate the relationship between the clinical, radiological parameters of TOBS, its prognosis, and mortality rates, in Sakarya, Turkey. Materials and Methods Age, sex, presenting symptoms, National Institutes of Health Stroke Scores (NIHSS), infratentorial infarct volume (IIV), supratentorial infarct volume (SIV) lenght of stay (LOS) in neurology clinic and intensive care unit (ICU), the duration of mechanical ventilation (MV) and mortality were recorded. Results Thirty-one patients (18 female,13 male) with diagnosed TOBS were included. The frequency was 2.2% among 1379 patients within 2,5years. The mean age was 69.0±12.1years. According to NIHSS, 11 (35.5%) patients had mild stroke, 16 (51.6%) moderate, and 4 (12.9%) severe stroke. The mean IIV was 8.84±10.44mm3 (0.17- 33.88), SIV was 15.11±22.32mm3 (0.11-87.91). The average LOS in neurology clinic was 6.0±3.6, in ICU was 40.8±40.3days. Twenty-one (67.7%) patients needed to be in an ICU. Patients admitted to the ICU had significantly higher decreased level of consciousness (DLC) and visual abnormalities, NIHSS, IIV. 13/21 (61.9%) patients admitted to the ICU required MV. The mean duration of MV was 33.8±45.3days. DLC, ataxia, visual abnormalities as an initial symptoms, NIHSS, IIV were higher among patients who required MV compared with who did not. The mortality rate was 32.3%. NIHSS, LOS in clinic and ICU, the duration of MV of patients who died were statistically higher. Conclusion : It is important to determine effective parameters in order to prognose TOBS which is a rare stroke syndrome.

Anahtar Kelime: Basilar artery Prognosis Mortality

Baziller Tepe Sendromunda Klinik ve Radyolojik Bulguların Prognoz Üzerine Etkisi

Öz:

Amaç Koronavirüs hastalığı 2019 (COVID-19), solunum ve gastrointestinal sistem bozukluklarına ek olarak nörolojik bozukluklara da neden olabilir. Bu çalışmada COVID-19 hastalarında nöro- lojik semptomların sıklığı ve klinik korelasyonlarının araştırılması amaçlandı. Gereç ve Yöntemle Hastaların yaşı, cinsiyeti, başlangıç semptomları, National Institutes of Health Stroke skorları (NIHSS), infratentorial ve supratentorial enfarkt hacimleri, nöroloji klinik ve yoğun bakım ünitelerinde (YBÜ) kalış süreleri, mekanik ventilasyon (MV) süreleri, mortalite oranları kaydedildi. Bulgular BTS tanısı almış 31 hasta (18 kadın, 13 erkek) alındı. Hastalık 2,5 yıl içinde 1379 inme hastası içinde %2,2 oranında görüldü. Hastaların yaş ortalaması 69,012,1 (42-97) idi. NIHSS’ye göre 11 hasta (%35,5) hafif, 16 hasta orta (%51,6), 4 hasta ağır (%12,9) inme tablosuna sahipti. İnfratentorial bölgenin ortalama enfarkt hacmi 8,84±10,44 mm3 (0,17-33,88), supratentorial bölgeninki 15,11±22,32 mm3 (0,11-87,91) idi. Nöroloji kliniğinde ortalama kalış süresi 6,0±3,6, YBÜ’de 40,8±40,3 gündü. Yirmibir (%67,7) hastanın YBÜ ihtiyacı gelişti. YBÜ’ye ihtiyacı olan hastaların bilinç değişikliği ve görme bozukluğu ile başvuru oranı, NIHSS, infratentorial enfarkt hacmi istatistiksel olarak anlamlı oranda yüksekti. YBÜ’ye giren hastaların 13/21’inde (%61,9) MV ihtiyacı gelişti. Ortalama MV’da kalış süresi 33,8±45,3 gündü. MV ihtiyacı olan hastalarda olmayanlara göre bilinç değişikliği, dengesizlik, görme bozukluğu ile başvuru, NIHSS, infratentorial enfarkt hacmi istatistiksel olarak anlamlı oranda yüksekti. Mortalite oranı %32,3’tü. Mortal seyreden olguların NIHSS, nöroloji kliniği ve YBÜ yatış süreleri, MV gün sayısı istatistiksel olarak anlamlı oranda yüksekti. Sonuç Nadir bir inme olan BTS’nin prognozu için etkin parametrelerinin belirlenmesi önemlidir.

Anahtar Kelime: Baziler arter Prognoz Ölüm Oranı

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	özözen ayas z, KOTAN D, Asil E (2021). The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome. , 639 - 646. 10.31832/smj.937034
Chicago	özözen ayas zeynep,KOTAN DILCAN,Asil Erem The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome. (2021): 639 - 646. 10.31832/smj.937034
MLA	özözen ayas zeynep,KOTAN DILCAN,Asil Erem The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome. , 2021, ss.639 - 646. 10.31832/smj.937034
AMA	özözen ayas z,KOTAN D,Asil E The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome. . 2021; 639 - 646. 10.31832/smj.937034
Vancouver	özözen ayas z,KOTAN D,Asil E The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome. . 2021; 639 - 646. 10.31832/smj.937034
IEEE	özözen ayas z,KOTAN D,Asil E "The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome." , ss.639 - 646, 2021. 10.31832/smj.937034
ISNAD	özözen ayas, zeynep vd. "The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome". (2021), 639-646. https://doi.org/10.31832/smj.937034

APA	özözen ayas z, KOTAN D, Asil E (2021). The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome. Sakarya Tıp Dergisi, 11(3), 639 - 646. 10.31832/smj.937034
Chicago	özözen ayas zeynep,KOTAN DILCAN,Asil Erem The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome. Sakarya Tıp Dergisi 11, no.3 (2021): 639 - 646. 10.31832/smj.937034
MLA	özözen ayas zeynep,KOTAN DILCAN,Asil Erem The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome. Sakarya Tıp Dergisi, vol.11, no.3, 2021, ss.639 - 646. 10.31832/smj.937034
AMA	özözen ayas z,KOTAN D,Asil E The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome. Sakarya Tıp Dergisi. 2021; 11(3): 639 - 646. 10.31832/smj.937034
Vancouver	özözen ayas z,KOTAN D,Asil E The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome. Sakarya Tıp Dergisi. 2021; 11(3): 639 - 646. 10.31832/smj.937034
IEEE	özözen ayas z,KOTAN D,Asil E "The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome." Sakarya Tıp Dergisi, 11, ss.639 - 646, 2021. 10.31832/smj.937034
ISNAD	özözen ayas, zeynep vd. "The Effect of Clinical and Radiological Features on Prognosis in the Top of The Basilar Syndrome". Sakarya Tıp Dergisi 11/3 (2021), 639-646. https://doi.org/10.31832/smj.937034