Impact of Laterality on Inpatient Outcomes and Complications of Middle Cerebral Artery Acute Ischemic Stroke - PubMed
7 hours ago
- #middle cerebral artery
- #ischemic stroke
- #laterality
- The study examines the impact of laterality (right vs. left) on inpatient outcomes in middle cerebral artery (MCA) acute ischemic stroke.
- Right MCA strokes (R-MCAS) were associated with higher odds of receiving endovascular thrombectomy but lower odds of intravascular thrombolysis.
- R-MCAS showed increased risks of cerebral edema/herniation, hemorrhagic transformation, sepsis, and higher inpatient mortality.
- Left MCA strokes were linked to a higher likelihood of coma.
- The National Institutes of Health Stroke Scale's bias toward language abilities may disadvantage R-MCAS patients, leading to worse outcomes.
- The study suggests recognizing subtle signs of nondominant hemisphere strokes could improve detection, treatment, and outcomes.