지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 8 - 17 (10page)
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초록· 키워드
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Objective The purpose of this study is to investigate predictors of crossed cerebellar diaschisis (CCD), and the effects of CCD on functional outcomes including motor function, activities of daily living, cognitive function, and ambulation 6 months after onset in patients with intracerebral hemorrhage (ICH). Methods A total of 74 patients experiencing their first ICH were recruited. If the asymmetric index was more than 10% using single photon emission computed tomography (SPECT), a diagnosis of CCD was confirmed. Clinical factors were retrospectively assessed by reviewing medical records. Radiologic factors encompassed the concomitance of intraventricular hemorrhage, side and location of the lesion, and hemorrhage volume. Functional outcomes were evaluated using the Fugl-Meyer Assessment, the Korean version of the Mini-Mental State Examination, the Korean version of the Modified Barthel Index, and measurement of the Functional Ambulatory Category at the time of SPECT measurement and 6 months post-ICH. Results Lesion location, especially in the basal ganglia (odds ratio [OR]=6.138, p=0.011), and hemorrhagic volume (OR=1.055, p=0.046) were independent predictors for CCD according to multivariate logistic regression analysis. In addition, the presence of CCD was significantly related to the improvement in Fugl-Meyer Assessment score after 6 months (adjusted R2=0.152, p=0.036). Conclusion Lesion location and hemorrhagic volume were the predisposing factors for CCD, and the CCD was associated with poor motor recovery over 6 months in patients with hemorrhagic stroke.
목차
등록된 정보가 없습니다.
참고문헌 (36)
참고문헌 신청
Baron JC / 1981 / Crossed cerebellar diaschisis in human supratentorial brain infarction / Trans Am Neurol Assoc 105:459~461
Sommer WH / 2016 / Crossed cerebellar diaschisis in patients with acute middle cerebral artery infarction: occurrence and perfusion characteristics / J Cereb Blood Flow Metab 36:743~754
Feeney DM / 1986 / Diaschisis / Stroke 17:817~830
Tien RD / 1992 / Crossed cerebellar diaschisis and crossed cerebellar atrophy: correlation of MR findings, clinical symptoms, and supratentorial diseases in 26 patients / AJR Am J Roentgenol 158:1155~1159
Kim SE / 1997 / Crossed-cerebellar diaschisis in cerebral infarction: technetium-99m-HMPAO SPECT and MRI / J Nucl Med 38:14~19
Sommer WH / 2016 / Crossed cerebellar diaschisis in patients with acute middle cerebral artery infarction: occurrence and perfusion characteristics / J Cereb Blood Flow Metab 36:743~754
Feeney DM / 1986 / Diaschisis / Stroke 17:817~830
Tien RD / 1992 / Crossed cerebellar diaschisis and crossed cerebellar atrophy: correlation of MR findings, clinical symptoms, and supratentorial diseases in 26 patients / AJR Am J Roentgenol 158:1155~1159
Kim SE / 1997 / Crossed-cerebellar diaschisis in cerebral infarction: technetium-99m-HMPAO SPECT and MRI / J Nucl Med 38:14~19
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