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Research ArticleORIGINAL ARTICLES
Open Access

Ischemic stroke in the vertebrobasilar system. Risk factors, etiology, and localization

Fusun Mayda-Domac, GOksel Somay, Handan Misirli, Hakan Somay and Nuri Y. Erenoglu
Neurosciences Journal April 2006, 11 (2) 78-83;
Fusun Mayda-Domac
Neurology 1st Department, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey. Tel. +90 (216) 4144502. Fax. +90 (262) 7511267. E-mail: [email protected]
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GOksel Somay
Neurology 1st Department, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey. Tel. +90 (216) 4144502. Fax. +90 (262) 7511267. E-mail: [email protected]
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Handan Misirli
Neurology 1st Department, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey. Tel. +90 (216) 4144502. Fax. +90 (262) 7511267. E-mail: [email protected]
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Hakan Somay
Neurology 1st Department, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey. Tel. +90 (216) 4144502. Fax. +90 (262) 7511267. E-mail: [email protected]
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Nuri Y. Erenoglu
Neurology 1st Department, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey. Tel. +90 (216) 4144502. Fax. +90 (262) 7511267. E-mail: [email protected]
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Abstract

OBJECTIVE: To investigate and determine the clinical findings, lesions, risk factors, and variety of etiology in Turkish patients suffering from vertebrobasilar ischemia.

METHODS: The clinical, radiological, and prognostic features of patients with ischemic stroke in the vertebrobasilar system (VBS) are not homogeneous. The mechanism, localization, and severity of the vascular lesions and the presence of coexisting vascular risk factors influence the prognosis. The study included 134 patients with ischemic strokes in the VBS that were evaluated according to age, gender, clinical findings, risk factors, lesion localization, echocardiography, Doppler sonography, and cervical magnetic resonance angiography at Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey between 1998-2002.

RESULTS: Hypertension, heart disease, smoking, diabetes mellitus, and hyperlipidemia were the most commonly observed risk factors. While infratentorial involvement was seen at a higher ratio (75.4%), acute multi-infarcts appearing simultaneously were mostly localized in the thalamus and the brain stem (18.7%). Large and small vessel disease incidences have been found in 32.8% and 20.1% of the patients. Cardioembolism with an incidence rate of 41.8% was the most frequent etiological cause in VBS ischemia. No significant meaning has been developed with age and gender as compared to the relationship between localization and etiological subgroups.

CONCLUSION: The most common risk factors were hypertension and cardiac diseases, and the most common localization of the infarcts was the infratentorial region. The cerebellum was seen as the most coexisting localization with all multiple infarcts. Cardioembolism accounted for the largest etiological group in all localizations and in multiple infarcts.

  • Copyright: © Neurosciences

Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work.

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Neurosciences Journal: 11 (2)
Neurosciences Journal
Vol. 11, Issue 2
1 Apr 2006
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Ischemic stroke in the vertebrobasilar system. Risk factors, etiology, and localization
Fusun Mayda-Domac, GOksel Somay, Handan Misirli, Hakan Somay, Nuri Y. Erenoglu
Neurosciences Journal Apr 2006, 11 (2) 78-83;

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Ischemic stroke in the vertebrobasilar system. Risk factors, etiology, and localization
Fusun Mayda-Domac, GOksel Somay, Handan Misirli, Hakan Somay, Nuri Y. Erenoglu
Neurosciences Journal Apr 2006, 11 (2) 78-83;
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© 2025 Neurosciences Journal Neurosciences is copyright under the Berne Convention and the International Copyright Convention. All rights reserved. Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3183. Print ISSN 1319-6138.

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