Recurrent ischaemic stroke

Evidence-based neurology checklist on recurrent ischaemic stroke: Predictors Hyperlipidemia Prior stroke Depression Raised level of high-sensitive C reactive protein (hsCRP) Cerebral microbleeds Impaired glucose tolerance Raised neutrophil count Intravascular lymphoma

Predictors

  • Hyperlipidemia
  • Prior stroke
  • Depression
  • Raised level of high-sensitive C reactive protein (hsCRP)
  • Cerebral microbleeds
  • Impaired glucose tolerance
  • Raised neutrophil count
  • Intravascular lymphoma

References

  1. Kharitonova T, Thoren M, Ahmed N, et al. Disappearing hyperdense middle cerebral artery sign in ischaemic stroke patients treated with intravenous thrombolysis: clinical choose and prognostic significance. JNNP 2009; 80:273-278.
  2. Yu S, Arima H, Bertmar C, Hirakawa Y, Priglinger M, Evans K, Krause M. Depression but not anxiety predicts recurrent cerebrovascular events. Acta Neurol Scand 2016; 134:29-34. 
  3. Li J, Zhao X, Meng X, et al; CHANCE Investigators. High-sensitive c-reactive protein predicts recurrent stroke and poor functional outcome: subanalysis of the Clopidogrel in High-Risk Patients with Acute Nondisabling Cerebrovascular Events Trial. Stroke 2016; 47:2025-2030. 
  4. Wilson D, Charidimou A, Ambler G, et al. Recurrent stroke risk and cerebral microbleed burden in ischemic stroke and TIA: a meta-analysis. Neurology 2016; 87:1501-1510.
  5. Pan Y, Jing J, Li H, Wang Y, Wang Y, He Y; CHANCE investigators. Abnormal glucose regulation increases stroke risk in minor ischemic stroke or TIA. Neurology 2016; 87:1551-1556.
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