title: Cheyne-stokes respiration in patients with first-ever lacunar stroke.
abstract: The aim of this single-center prospective study was to assess the presence of Cheyne-Stokes respiration (CSR) and CSR-related variables in 68 consecutive patients with radiologically proven first-ever lacunar stroke undergoing a respiratory sleep study using a portable respiratory polygraph within the first 48 hours of stroke onset. CSR was diagnosed in 14 patients (20.6%). Patients with CSR as compared with those without CSR showed a significantly higher mean (standard deviation, SD) apnea-hypopnea index (AHI) (34.9 (21.7) versus 18.5 (14.4), P = 0.001) and central apnea index (13.1 (13.8) versus 1.8 (3.4), P = 0.0001) as well as higher scores of the Barthel index and the Canadian Neurological scale as a measure of stroke severity, and longer hospital stay. CSR was present in one of each five patients with lacunar stroke. The presence of CSR was associated with a trend towards a higher functional stroke severity and worse prognosis.
authors.affiliation: Service of Pneumology Division, Department of Neurology, Hospital Universitari del Sagrat Cor, Universitat de Barcelona, Viladomat 288, 08029 Barcelona, Spain.
authors.forename: Marc
authors.initials: M
authors.lastname: Bonnin-Vilaplana
authors.forename: Adrià
authors.initials: A
authors.lastname: Arboix
authors.forename: Olga
authors.initials: O
authors.lastname: Parra
authors.forename: Luis
authors.initials: L
authors.lastname: García-Eroles
authors.forename: Josep M
authors.initials: JM
authors.lastname: Montserrat
authors.forename: Joan
authors.initials: J
authors.lastname: Massons