METHOD FOR PREDICTION OF CLINICAL COURSE OF ACUTE ISCHEMIC STROKE DURING 24 HOURS OF PERFORMING THROMBOLYTIC THERAPY

摘要

FIELD: medicine.;SUBSTANCE: diffuse-weighted magnetic resonance imaging (DW MRI) is performed. An area of infarction is determined. A total score is estimated by NIH stroke scale during 4.5 hours (NIH_{1 day}) and 24 hours later (NIH_{2 day}). A 2^nd day total score decrement ΔNIH is determined by formula: ΔNIH_{2 day} = NIH_{1 day} - NIH_{2 day}. If ΔNIH_{2 day} is less than 2, the NIH-scale total score during the first post-infarction day is more than 14, and the area of the infarction is more than 1429 mm², the clinical course of the acute ischemic stroke accompanying a thrombolytic therapy is considered unfavourable.;EFFECT: method enables the accurate prediction of the clinical course of ischemic stroke by taking into account the most informative clinical and tomographic markers of the clinical course of stroke in the thrombolytic therapy.;3 tbl, 2 ex