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BASELINE FACTORS AFFECTING THE PROGNOSIS OF ISCHEMIC CEREBELLAR STROKE PATIENTS
IN TURKEY: A CROSS-SECTIONAL STUDY.

T Altiparmak, B Nazliel, H B Caglayan, N Tokgoz, A A Gurses, M Ucar
Nigerian Journal of Clinical Practice 2023 November 2
BACKGROUND: Cerebellar infarcts are encountered commonly in clinical practice;
however, they are likely to be misinterpreted. They cannot be adequately
evaluated on scales such as the National Institute of Health Stroke Scale
(NIHSS), which can have fatal consequences.

AIM: To evaluate the baseline features, prognosis, and 6-month survival in
patients with cerebellar stroke.

METHODS: A total of 200 patients with cerebellar ischemia were included in the
study. Patients were analyzed retrospectively from 10 years of data. Both
univariate and multivariate analyses were evaluated.

RESULTS: Mean age was 68 years old, and men were more frequently affected. The
most common symptoms were dysarthria and vertiginous sensations. Ischemic
lesions were usually cortical/juxtacortical, multiple, hemispheric, and small
(below 1.5 cm). The most commonly affected artery was the medial branch of the
posterior inferior cerebellar artery. Cardioembolism was the more frequent
etiology. Gait ataxia was associated with a more favorable prognosis and 6-month
modified Rankin Scale (mRS) scores (OR: 0.15, 95% CI, P = 0.03). Older age (OR:
1.75, 95%, P = 0.02), female gender (OR: 6.72, 95%, P = 0.02), multiple (OR:
10.92, 95%, P = 0.01) and large lesions (OR: 6.56, 95% CI, P = 0.01), posterior
circulation ischemic lesions extra-cerebellum (OR: 8.33, 95% CI, P = 0.01), left
ventricular apical hypokinesia or AF (OR: 5.58, 95% CI, P = 0.02), and a high
mRS score on admission (OR: 5.21, 95% CI, P < 0.001) was correlated with higher
6-month mRS and a lower survival rates.

CONCLUSION: The study found that some baseline clinical, neurovascular imaging
findings, and the mRS score on admission are useful predictors of cerebellar
stroke prognosis and outcome.



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