Prevalence
Clinical
features
Investigations
Therapy
Prevention
Prognosis
|  | | | Clinical
features |
Classify your patient's type of stroke (based on maximal deficit)
a
The clinical features of stroke subtypes
|
Stroke subtype
|
features
|
|
lacunar infarcts (LACI)
|
pure motor or sensory stroke, sensorimotor stroke, or ataxic hemiparesis
|
|
total anterior circulation infarcts (TACI)
|
a combination of new higher cerebral dysfunction (e.g., dysphasia), homonymous visual field defect, and ipsilateral motor or sensory deficit of at least 2 areas of face, arm, and leg
|
|
partial anterior circulation infarcts (PACI)
|
only 2 of 3 components of TACI; higher cerebral dysfunction alone or with motor/sensory deficit more restricted than for LACI
|
|
posterior circulation infarcts (POCI)
|
brain stem or cerebellar dysfunction
|
Why?
Classifying the type of stroke helps determine probability of recovery, recurrent stroke and death
|
Stroke subtype
a
|
% of patients ((95% CI)
|
recurrent stroke at 1 year
|
death at 1 year
|
functionally independent at 1 year
|
|
LACI
|
20%
(17% to 23%)
|
9%
(4% to 14%)
|
11%
(6% to 16%)
|
62%
|
|
TACI
|
14%
(11% to 16%)
|
6%
(2% to 12%)
|
60%
(50% to 70%)
|
4%
|
|
PACI
|
27%
(24% to 31%)
|
17%
(12% to 23%)
|
16%
(11% to 22%)
|
55%
|
|
POCI
|
19%
(16% to 22%)
|
20%
(13% to 27%)
|
19%
(12% to 25%)
|
62%
|
|
unclassified
|
20%
(17% to 23%)
|
|
|
|
|
internal medicine