Search In this Thesis
   Search In this Thesis  
العنوان
DWI Lesion characteristics as A Predictor for Outcome in Acute Stroke Patients
Treated by IV-tPA
/
الناشر
Ain Shams University.
المؤلف
Mohamed,Huda Mahmoud Bahier .
هيئة الاعداد
باحث / هدى محمود بهير محمد
مشرف / هاني محمد أمين عارف
مشرف / شيرين محمد فرج
مشرف / شاهيناز محمد حلمي
تاريخ النشر
2020
عدد الصفحات
152.p;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب النفسي والصحة العقلية
تاريخ الإجازة
1/4/2020
مكان الإجازة
جامعة عين شمس - كلية الطب - Neuropsychiatry
الفهرس
Only 14 pages are availabe for public view

from 153

from 153

Abstract

Background: Thrombolysis with tissue-type plasminogen activator (IV-tPA) is a well-proved, widely used treatment in acute ischemic stroke patients, many predictors of functional outcome have been proposed as Age, vascular risk factors, initial clinical evaluation on admission using National institute of health stroke scale(NIHSS), functional state of patient(b.s) before stroke and 3 months (3m) after stroke using modified Rankin stroke scale (MRS)and the most controversial Diffusion weighted image characteristics (volume, heterogeneity). Objective: To evaluate DWI MRI characteristics (volume, heterogeneity) as a predictor for outcome in Acute stroke patients treated by IV-tap Patients and Methods: This study will be done on a sample of 100 acute ischemic stroke Egyptian patients receiving intra-venous tissue -type plasminogen activator presenting to Ain-Shams university hospitals Results:
Highly statistically significant (p-value < 0.001) Positive correlation (r = 0.394) between volume (DWI) and MRS (3m) post discharge in studied patients, No statistically significant (p-value > 0.05) relation between heterogeneity and other studied parameters (MRS, NIHSS D & ADC values) in studied patients Conclusion: DWI infarct volume is a predictor for outcome in acute ischemic stroke patients treated by tap.