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The classic lacunar syndromes: clinical and neuroimaging correlates

Jacques De Reuck UGent, L. De Groote and Georges Van Maele UGent (2008) EUROPEAN JOURNAL OF NEUROLOGY. 15(7). p.681-684
abstract
Background: Although lacunar syndromes (LSs) are aimed to be linked to lacunar infarcts, the relation between both is still not very well defined. Purpose: The present retrospective study tries to de. ne more specifically the clinical and the neuroimaging characteristics of the five most classic LSs. Patients and methods: Out of a series of 1617 consecutive stroke patients, admitted to the Ghent University Hospital, 293 presented a classic LS. Magnetic resonance imaging (MRI) with diffusion-weighted imaging (DWI) was performed within 5 days after stroke onset in 227 patients. An acute territorial infarct was demonstrated in 54 patients. The study population finally consisted of 173 patients with a classic LS in whom the responsible lacune was demonstrated or in the absence of another type of infarct. Results: The responsible lacune was demonstrated with DWI in 104 patients. Pure motor stroke ( MS) correlated significantly with the presence of the responsible lacune in the internal capsule (P = 0.000147) and with the stroke severity (P = 0.00724). No significant correlation was observed between the location of the lacunes and the other LS's. Conclusion: Pure MS has to be considered as the most specific lacunar syndrome.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
keyword
diffusion weighted imaging, lacunar infarct, DEMENTIA, DIAGNOSIS, CLASSIFICATION, RISK, TOMOGRAPHY, INFARCTION, PURE MOTOR STROKE, lacunar syndrome, stroke severity, vascular risk factors, LONG-TERM PROGNOSIS, DIFFUSION-WEIGHTED MRI, ACUTE ISCHEMIC-STROKE, white matter changes
journal title
EUROPEAN JOURNAL OF NEUROLOGY
Eur. J. Neurol.
volume
15
issue
7
pages
681 - 684
Web of Science type
Article
Web of Science id
000256634600009
JCR category
CLINICAL NEUROLOGY
JCR impact factor
2.732 (2008)
JCR rank
55/156 (2008)
JCR quartile
2 (2008)
ISSN
1351-5101
DOI
10.1111/j.1468-1331.2008.02147.x
language
English
UGent publication?
yes
classification
A1
id
745825
handle
http://hdl.handle.net/1854/LU-745825
date created
2009-09-09 09:03:45
date last changed
2010-01-07 10:53:09
@article{745825,
  abstract     = {Background: Although lacunar syndromes (LSs) are aimed to be linked to lacunar infarcts, the relation between both is still not very well defined. Purpose: The present retrospective study tries to de. ne more specifically the clinical and the neuroimaging characteristics of the five most classic LSs. Patients and methods: Out of a series of 1617 consecutive stroke patients, admitted to the Ghent University Hospital, 293 presented a classic LS. Magnetic resonance imaging (MRI) with diffusion-weighted imaging (DWI) was performed within 5 days after stroke onset in 227 patients. An acute territorial infarct was demonstrated in 54 patients. The study population finally consisted of 173 patients with a classic LS in whom the responsible lacune was demonstrated or in the absence of another type of infarct. Results: The responsible lacune was demonstrated with DWI in 104 patients. Pure motor stroke ( MS) correlated significantly with the presence of the responsible lacune in the internal capsule (P = 0.000147) and with the stroke severity (P = 0.00724). No significant correlation was observed between the location of the lacunes and the other LS's. Conclusion: Pure MS has to be considered as the most specific lacunar syndrome.},
  author       = {De Reuck, Jacques and De Groote, L. and Van Maele, Georges},
  issn         = {1351-5101},
  journal      = {EUROPEAN JOURNAL OF NEUROLOGY},
  keyword      = {diffusion weighted imaging,lacunar infarct,DEMENTIA,DIAGNOSIS,CLASSIFICATION,RISK,TOMOGRAPHY,INFARCTION,PURE MOTOR STROKE,lacunar syndrome,stroke severity,vascular risk factors,LONG-TERM PROGNOSIS,DIFFUSION-WEIGHTED MRI,ACUTE ISCHEMIC-STROKE,white matter changes},
  language     = {eng},
  number       = {7},
  pages        = {681--684},
  title        = {The classic lacunar syndromes: clinical and neuroimaging correlates},
  url          = {http://dx.doi.org/10.1111/j.1468-1331.2008.02147.x},
  volume       = {15},
  year         = {2008},
}

Chicago
De Reuck, Jacques, L. De Groote, and Georges Van Maele. 2008. “The Classic Lacunar Syndromes: Clinical and Neuroimaging Correlates.” European Journal of Neurology 15 (7): 681–684.
APA
De Reuck, J., De Groote, L., & Van Maele, G. (2008). The classic lacunar syndromes: clinical and neuroimaging correlates. EUROPEAN JOURNAL OF NEUROLOGY, 15(7), 681–684.
Vancouver
1.
De Reuck J, De Groote L, Van Maele G. The classic lacunar syndromes: clinical and neuroimaging correlates. EUROPEAN JOURNAL OF NEUROLOGY. 2008;15(7):681–4.
MLA
De Reuck, Jacques, L. De Groote, and Georges Van Maele. “The Classic Lacunar Syndromes: Clinical and Neuroimaging Correlates.” EUROPEAN JOURNAL OF NEUROLOGY 15.7 (2008): 681–684. Print.