RESUMO
Eighty patients suffering from stroke were studied on the setting of clinical and computerised tomography (CT) scan findings and were followed up to 6 months. Even though some of the clinical and CT scan findings are found to be important in prediction of outcome of stroke patients, clinical assessment appears to be more important.
Assuntos
Atividades Cotidianas , Idoso , Isquemia Encefálica/diagnóstico , Hemorragia Cerebral/diagnóstico , Infarto Cerebral/mortalidade , Feminino , Seguimentos , Hemiplegia/classificação , Humanos , Masculino , Pessoa de Meia-Idade , Exame Neurológico/métodos , Valor Preditivo dos Testes , Prognóstico , Recuperação de Função Fisiológica , Taxa de Sobrevida , Tomografia Computadorizada por Raios XRESUMO
Median and tibial short latency somatosensory evoked potentials (SSEPs) were studied in 54 stroke patients, 27 males and 27 females. Thirty-two patients had cerebral infarction and 22 had cerebral hemorrhage. Median SSEPs abnormalities correlated with the Barthel score (p = 0.005) as well as tibial SSEPs (p = 0.01). Both median and tibial SSEPs were very sensitive (sensitivity = 79.41% and 85.71%) and high positive predictive value (77.14% and 75%) in the assessment of neurological disability. However, normal median and tibial SSEPs did not exclude severe neurological deficits (positive predictive value = 63.16%, 64.29% and sensitivity = 60%, 47.37%).