A one-year clinical follow-up study of patients with a first-ever incident of reversible ischaemic neurological deficit.
The purpose of the present study was to perform a one-year clinical follow-up of patients with a first-ever RIND to determine the rate of recurrent vascular events after the first cerebral infarction. The study comprises 54 patients (17 men and 37 women) with an average age of 62 +/- 9.6 years. On an inpatient basis the clinical observation of the subjects covered the time period from the onset of the incident till the 30th day of their hospital stay, while after the discharge the follow-up continued for 12 month on an outpatient basis. The diagnosis RIND was confirmed using criteria accepted by the authors. The development of the neurological deficit was evaluated using a modified Rankin scale. Our one-year clinical follow-up of RIND patients found a high percentage (14.8%) of recurrent cerebrovascular incidents. The recurrent cerebrovascular incidents are more likely to cause disability and are not necessarily ischaemic. The second cerebral incident most often affects the vascular territory involved in the first RIND. The RIND syndromes must attract the attention of clinicians as an important risk factor predicting high recurrence rate for consequent strokes occurring as early as in the first year after the first incident.
Atanassova
P
P
Department of Neurology, Higher Medical Institute, Plovdiv, Bulgaria.
Hadjipetrova
E
E
Zachariev
Z
Z
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D002546:Ischemic Attack, Transient / Q000503:physiopathology*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012008:Recurrence