Spontaneous early improvement following ischemic stroke

John F. Rothrock, Wayne Clark, Patrick D. Lyden

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Recognizing that early spontaneous neurological improvement not uncommonly follows acute ischemic stroke, we conducted this study to determine the incidence of such improvement and its potential relation to stroke etiology. Methods We prospectively evaluated 68 patients who presented within 12 hours after ischemic stroke, exhibited moderate or severe new functional neurological deficit acutely, and received either no stroke-specific therapy or only antiplatelet therapy over the ensuing week. We reexamined all patients 1 week after stroke onset. Results Sixteen (24%) of the 68 patients improved to the point of having no or mild functional neurological deficit at 1 week. Patients with lacunar stroke were more likely to enjoy early spontaneous improvement (8/22 equals 36% versus 8/46 equals 17%), but this difference did not reach statistical significance (P equals.15). Conclusions Early spontaneous improvement after ischemic stroke may occur in a substantial proportion of patients and more commonly after lacunar stroke. Even so, the majority of patients with acutely disabling stroke will remain significantly impaired 1 week after stroke onset.

Original languageEnglish (US)
Pages (from-to)1358-1360
Number of pages3
JournalStroke
Volume26
Issue number8
StatePublished - 1995

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Stroke
Lacunar Stroke
Incidence
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Clinical Neurology
  • Advanced and Specialized Nursing
  • Neuroscience(all)

Cite this

Rothrock, J. F., Clark, W., & Lyden, P. D. (1995). Spontaneous early improvement following ischemic stroke. Stroke, 26(8), 1358-1360.

Spontaneous early improvement following ischemic stroke. / Rothrock, John F.; Clark, Wayne; Lyden, Patrick D.

In: Stroke, Vol. 26, No. 8, 1995, p. 1358-1360.

Research output: Contribution to journalArticle

Rothrock, JF, Clark, W & Lyden, PD 1995, 'Spontaneous early improvement following ischemic stroke', Stroke, vol. 26, no. 8, pp. 1358-1360.
Rothrock JF, Clark W, Lyden PD. Spontaneous early improvement following ischemic stroke. Stroke. 1995;26(8):1358-1360.
Rothrock, John F. ; Clark, Wayne ; Lyden, Patrick D. / Spontaneous early improvement following ischemic stroke. In: Stroke. 1995 ; Vol. 26, No. 8. pp. 1358-1360.
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