الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Cerebral SAD is a common disorder that manifests with recurrent lacunar infarcts and progressive WM disease. It is a frequent finding in brain CT and MRI scans and has been associated with acute and chronic progressive neurological dysfunction. The present work aimed to study the risk factors, clinical presentations and outcome in patients with SAD. Patients and methods: The present study included 60 patients with SAD ischemic stroke and 40 patients with LAD ischemic stroke. All patients were submitted to clinical assessment, stroke severity and neurological function assessment using NIHSS and MRS, standard cognitive function tests, balance and gait assessment; and brain MRI studies including DTI and tractography. Results: SAD group showed significant association with DM, HTN, cardiac disease and homocystinemia. SAD ischemic stroke more frequently presented with dizziness, dysphasia, headache, left ataxic hemiparesis and unsteadiness with significantly lower NIHSS and MRS scores. SAD group showed significantly lower performance scores in the Trail making, Stroop color word, verbal fluency, symbol digit, arithmetic, and Berg’s balance tests; but not in the digital span test, 12 months after the stroke. |