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Pracoviště: Department of Medicine and Neurology University...

1 záznamů v Medvik Filtry

Článek

Sex Differences in Diagnosis and Diagnostic Revision of Suspected Minor Cerebral Ischemic Events

Yu, Amy Y X
Autor Yu, Amy Y X From the Department of Medicine (Neurology) (A.Y.X.Y., R.H.S.), University of Toronto, Ontario Department of Clinical Neurosciences (M.D.H., A.M.D., M.G., B.K.M., S.B.C.), University of Calgary, Alberta, Canada Department of Neurology (N.A.), University of Miami, FL Department of Neurology (J.-M.B.), Sherbrooke University, Longueil Department of Neurosciences (M.-C.C.), Laval University, Québec City, Québec, Canada Department of Medicine and Neurology (B.C.V.C.), University of Melbourne, Parkville, Australia Vancouver Stroke Program (T.S.F.), University of British Columbia, Vancouver, Canada Northern Clinical School (M.K.), University of Sydney, Australia Department of Clinical Neurosciences (J.M.), Western University, London, Ontario, Canada Neurological Department (R.M.), St. Anne's University Hospital and Masaryk University, Brno, Czech Republic Department of Medicine (F.M.), Neurology, Université de Sherbrooke, Québec and Division of Neurology (A.M.P.), Vancouver Island Health Authority, Victoria, British Columbia, Canada. amyyx.yu@utoronto.ca
Hill, Michael D
Autor Hill, Michael D From the Department of Medicine (Neurology) (A.Y.X.Y., R.H.S.), University of Toronto, Ontario Department of Clinical Neurosciences (M.D.H., A.M.D., M.G., B.K.M., S.B.C.), University of Calgary, Alberta, Canada Department of Neurology (N.A.), University of Miami, FL Department of Neurology (J.-M.B.), Sherbrooke University, Longueil Department of Neurosciences (M.-C.C.), Laval University, Québec City, Québec, Canada Department of Medicine and Neurology (B.C.V.C.), University of Melbourne, Parkville, Australia Vancouver Stroke Program (T.S.F.), University of British Columbia, Vancouver, Canada Northern Clinical School (M.K.), University of Sydney, Australia Department of Clinical Neurosciences (J.M.), Western University, London, Ontario, Canada Neurological Department (R.M.), St. Anne's University Hospital and Masaryk University, Brno, Czech Republic Department of Medicine (F.M.), Neurology, Université de Sherbrooke, Québec and Division of Neurology (A.M.P.), Vancouver Island Health Authority, Victoria, British Columbia, Canada
Asdaghi, Negar
Autor Asdaghi, Negar From the Department of Medicine (Neurology) (A.Y.X.Y., R.H.S.), University of Toronto, Ontario Department of Clinical Neurosciences (M.D.H., A.M.D., M.G., B.K.M., S.B.C.), University of Calgary, Alberta, Canada Department of Neurology (N.A.), University of Miami, FL Department of Neurology (J.-M.B.), Sherbrooke University, Longueil Department of Neurosciences (M.-C.C.), Laval University, Québec City, Québec, Canada Department of Medicine and Neurology (B.C.V.C.), University of Melbourne, Parkville, Australia Vancouver Stroke Program (T.S.F.), University of British Columbia, Vancouver, Canada Northern Clinical School (M.K.), University of Sydney, Australia Department of Clinical Neurosciences (J.M.), Western University, London, Ontario, Canada Neurological Department (R.M.), St. Anne's University Hospital and Masaryk University, Brno, Czech Republic Department of Medicine (F.M.), Neurology, Université de Sherbrooke, Québec and Division of Neurology (A.M.P.), Vancouver Island Health Authority, Victoria, British Columbia, Canada
Boulanger, Jean-Martin
Autor Boulanger, Jean-Martin From the Department of Medicine (Neurology) (A.Y.X.Y., R.H.S.), University of Toronto, Ontario Department of Clinical Neurosciences (M.D.H., A.M.D., M.G., B.K.M., S.B.C.), University of Calgary, Alberta, Canada Department of Neurology (N.A.), University of Miami, FL Department of Neurology (J.-M.B.), Sherbrooke University, Longueil Department of Neurosciences (M.-C.C.), Laval University, Québec City, Québec, Canada Department of Medicine and Neurology (B.C.V.C.), University of Melbourne, Parkville, Australia Vancouver Stroke Program (T.S.F.), University of British Columbia, Vancouver, Canada Northern Clinical School (M.K.), University of Sydney, Australia Department of Clinical Neurosciences (J.M.), Western University, London, Ontario, Canada Neurological Department (R.M.), St. Anne's University Hospital and Masaryk University, Brno, Czech Republic Department of Medicine (F.M.), Neurology, Université de Sherbrooke, Québec and Division of Neurology (A.M.P.), Vancouver Island Health Authority, Victoria, British Columbia, Canada
Camden, Marie-Christine
Autor Camden, Marie-Christine From the Department of Medicine (Neurology) (A.Y.X.Y., R.H.S.), University of Toronto, Ontario Department of Clinical Neurosciences (M.D.H., A.M.D., M.G., B.K.M., S.B.C.), University of Calgary, Alberta, Canada Department of Neurology (N.A.), University of Miami, FL Department of Neurology (J.-M.B.), Sherbrooke University, Longueil Department of Neurosciences (M.-C.C.), Laval University, Québec City, Québec, Canada Department of Medicine and Neurology (B.C.V.C.), University of Melbourne, Parkville, Australia Vancouver Stroke Program (T.S.F.), University of British Columbia, Vancouver, Canada Northern Clinical School (M.K.), University of Sydney, Australia Department of Clinical Neurosciences (J.M.), Western University, London, Ontario, Canada Neurological Department (R.M.), St. Anne's University Hospital and Masaryk University, Brno, Czech Republic Department of Medicine (F.M.), Neurology, Université de Sherbrooke, Québec and Division of Neurology (A.M.P.), Vancouver Island Health Authority, Victoria, British Columbia, Canada
Campbell, Bruce C V
Autor Campbell, Bruce C V From the Department of Medicine (Neurology) (A.Y.X.Y., R.H.S.), University of Toronto, Ontario Department of Clinical Neurosciences (M.D.H., A.M.D., M.G., B.K.M., S.B.C.), University of Calgary, Alberta, Canada Department of Neurology (N.A.), University of Miami, FL Department of Neurology (J.-M.B.), Sherbrooke University, Longueil Department of Neurosciences (M.-C.C.), Laval University, Québec City, Québec, Canada Department of Medicine and Neurology (B.C.V.C.), University of Melbourne, Parkville, Australia Vancouver Stroke Program (T.S.F.), University of British Columbia, Vancouver, Canada Northern Clinical School (M.K.), University of Sydney, Australia Department of Clinical Neurosciences (J.M.), Western University, London, Ontario, Canada Neurological Department (R.M.), St. Anne's University Hospital and Masaryk University, Brno, Czech Republic Department of Medicine (F.M.), Neurology, Université de Sherbrooke, Québec and Division of Neurology (A.M.P.), Vancouver Island Health Authority, Victoria, British Columbia, Canada
Demchuk, Andrew M
Autor Demchuk, Andrew M From the Department of Medicine (Neurology) (A.Y.X.Y., R.H.S.), University of Toronto, Ontario Department of Clinical Neurosciences (M.D.H., A.M.D., M.G., B.K.M., S.B.C.), University of Calgary, Alberta, Canada Department of Neurology (N.A.), University of Miami, FL Department of Neurology (J.-M.B.), Sherbrooke University, Longueil Department of Neurosciences (M.-C.C.), Laval University, Québec City, Québec, Canada Department of Medicine and Neurology (B.C.V.C.), University of Melbourne, Parkville, Australia Vancouver Stroke Program (T.S.F.), University of British Columbia, Vancouver, Canada Northern Clinical School (M.K.), University of Sydney, Australia Department of Clinical Neurosciences (J.M.), Western University, London, Ontario, Canada Neurological Department (R.M.), St. Anne's University Hospital and Masaryk University, Brno, Czech Republic Department of Medicine (F.M.), Neurology, Université de Sherbrooke, Québec and Division of Neurology (A.M.P.), Vancouver Island Health Authority, Victoria, British Columbia, Canada
Field, Thalia S
Autor Field, Thalia S From the Department of Medicine (Neurology) (A.Y.X.Y., R.H.S.), University of Toronto, Ontario Department of Clinical Neurosciences (M.D.H., A.M.D., M.G., B.K.M., S.B.C.), University of Calgary, Alberta, Canada Department of Neurology (N.A.), University of Miami, FL Department of Neurology (J.-M.B.), Sherbrooke University, Longueil Department of Neurosciences (M.-C.C.), Laval University, Québec City, Québec, Canada Department of Medicine and Neurology (B.C.V.C.), University of Melbourne, Parkville, Australia Vancouver Stroke Program (T.S.F.), University of British Columbia, Vancouver, Canada Northern Clinical School (M.K.), University of Sydney, Australia Department of Clinical Neurosciences (J.M.), Western University, London, Ontario, Canada Neurological Department (R.M.), St. Anne's University Hospital and Masaryk University, Brno, Czech Republic Department of Medicine (F.M.), Neurology, Université de Sherbrooke, Québec and Division of Neurology (A.M.P.), Vancouver Island Health Authority, Victoria, British Columbia, Canada
Goyal, Mayank
Autor Goyal, Mayank From the Department of Medicine (Neurology) (A.Y.X.Y., R.H.S.), University of Toronto, Ontario Department of Clinical Neurosciences (M.D.H., A.M.D., M.G., B.K.M., S.B.C.), University of Calgary, Alberta, Canada Department of Neurology (N.A.), University of Miami, FL Department of Neurology (J.-M.B.), Sherbrooke University, Longueil Department of Neurosciences (M.-C.C.), Laval University, Québec City, Québec, Canada Department of Medicine and Neurology (B.C.V.C.), University of Melbourne, Parkville, Australia Vancouver Stroke Program (T.S.F.), University of British Columbia, Vancouver, Canada Northern Clinical School (M.K.), University of Sydney, Australia Department of Clinical Neurosciences (J.M.), Western University, London, Ontario, Canada Neurological Department (R.M.), St. Anne's University Hospital and Masaryk University, Brno, Czech Republic Department of Medicine (F.M.), Neurology, Université de Sherbrooke, Québec and Division of Neurology (A.M.P.), Vancouver Island Health Authority, Victoria, British Columbia, Canada
Krause, Martin
Autor Krause, Martin From the Department of Medicine (Neurology) (A.Y.X.Y., R.H.S.), University of Toronto, Ontario Department of Clinical Neurosciences (M.D.H., A.M.D., M.G., B.K.M., S.B.C.), University of Calgary, Alberta, Canada Department of Neurology (N.A.), University of Miami, FL Department of Neurology (J.-M.B.), Sherbrooke University, Longueil Department of Neurosciences (M.-C.C.), Laval University, Québec City, Québec, Canada Department of Medicine and Neurology (B.C.V.C.), University of Melbourne, Parkville, Australia Vancouver Stroke Program (T.S.F.), University of British Columbia, Vancouver, Canada Northern Clinical School (M.K.), University of Sydney, Australia Department of Clinical Neurosciences (J.M.), Western University, London, Ontario, Canada Neurological Department (R.M.), St. Anne's University Hospital and Masaryk University, Brno, Czech Republic Department of Medicine (F.M.), Neurology, Université de Sherbrooke, Québec and Division of Neurology (A.M.P.), Vancouver Island Health Authority, Victoria, British Columbia, Canada

Neurology. 2021 ; 96 (5) : e732-e739. [pub] 20201112

ISSN 1526-632X
Medvik
Zdroj

OBJECTIVE: To describe sex differences in the presentation, diagnosis, and revision of diagnosis after early brain MRI in patients who present with acute transient or minor neurologic events. METHODS: We performed a secondary analysis of a prospective multicenter cohort study of patients referred to neurology between 2010 and 2016 with a possible cerebrovascular event and evaluated with brain MRI within 8 days of symptom onset. Investigators documented the characteristics of the event, initial diagnosis, and final diagnosis. We used multivariable logistic regression analyses to evaluate the association between sex and outcomes. RESULTS: Among 1,028 patients (51% women, median age 63 years), more women than men reported headaches and fewer reported chest pain, but there were no sex differences in other accompanying symptoms. Women were more likely than men to be initially diagnosed with stroke mimic (54% of women vs 42% of men, adjusted odds ratio (OR) 1.60, 95% confidence interval [CI] 1.24-2.07), and women were overall less likely to have ischemia on MRI (10% vs 17%, OR 0.52, 95% CI 0.36-0.76). Among 496 patients initially diagnosed with mimic, women were less likely than men to have their diagnosis revised to minor stroke or TIA (13% vs 20%, OR 0.53, 95% CI 0.32-0.88) but were equally likely to have acute ischemia on MRI (5% vs 8%, OR 0.56, 95% CI 0.26-1.21). CONCLUSIONS: Stroke mimic was more frequently diagnosed in women than men, but diagnostic revisions were common in both. Early brain MRI is a useful addition to clinical evaluation in diagnosing transient or minor neurologic events.

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