Nonrelevant cerebral atherosclerosis is a strong prognostic factor in acute cerebral infarction

Abstract

BACKGROUND AND PURPOSE - : We investigated whether the presence of nonrelevant cerebral atherosclerosis (NRCA) had prognostic value in patients with acute stroke. METHODS - : We compared prognosis in 780 consecutive patients with first-ever acute cerebral infarction who underwent cerebral angiography and diffusion-weighted MRI. RESULTS - : NRCA was present in 267 patients (34.2%). Multivariate analysis demonstrated that the presence of NRCA was independently associated with less improvement in National Institute of Health Stroke Scale score during the first 7 days (P=0.004), and a poor functional outcome (modified Rankin Scale score >2) after 3 months (odds ratio, 2.51; 95% confidence interval, 1.55-4.07). An increase in burden count of NRCA was also associated with poor outcomes. CONCLUSIONS - : The presence and burden count of NRCA were associated with poor neurological outcomes in patients with acute cerebral infarction. © 2013 American Heart Association, Inc.