Lesion Indexes Predict Early Neurologic Deterioration in Lenticulostriate Single Small Subcortical Infarction

• DOI: 10.3174/ajnr.a8176
• Publication Date: 2024-05-09T16:25:23Z
• Authors: Yuan Gao; Ke Zhang; Hongbing Liu; Ce Zong; Hongxun Yang; Ying Yao; Yuming Xu
• Keywords: Male; Diffusion Magnetic Resonance Imaging; Basal Ganglia Cerebrovascular Disease; Humans; Female; Cerebral Infarction; Middle Aged; Aged; Retrospective Studies

<h3>BACKGROUND AND PURPOSE:</h3> Early neurologic deterioration (END) often occurs during hospitalization in single small subcortical infarction (SSSI). The objective was to identify imaging predictors of END. <h3>MATERIALS METHODS:</h3> SSSIs the lenticulostriate artery within 72 hours stroke onset from January 2015 June 2021 were consecutively enrolled. posteriority and laterality indexes assessed on second section top corona radiata showing lateral ventricle DWI. A multivariate logistic analysis used explore <h3>RESULTS:</h3> total 402 patients included this study, among whom 93 (23.1%) experienced optimal cutoff points for predicting END given by a receiver operating characteristic curve. showed that index ≥0.669 (OR: 2.53; 95% CI: 1.41–4.56; <i>P </i>= .002) ≥0.950 2.03; 1.03–4.00; .042) independently associated with risk Accordingly, further divided into 4 types: anterior type (AL-type), medial (AM-type), posterior (PL-type), (PM-type). After analysis, comparison AL-type, AM-type 3.26; 1.10–9.65), PL-type 4.68; 1.41–15.56), PM-type 6.77; 2.53–18.04) carried significantly elevated risks highest <h3>CONCLUSIONS:</h3> found be