Predictive value of brain and vascular imaging including intracranial vessels in transient ischaemic attack patients: external validation of the ABCD3‐I score

@article{Purroy2013PredictiveVO,
  title={Predictive value of brain and vascular imaging including intracranial vessels in transient ischaemic attack patients: external validation of the ABCD3‐I score},
  author={Francisco Purroy and Pedro Enrique Jim{\'e}nez-Caballero and Gerard Mauri-Capdevila and Mar{\'i}a Jos{\'e} Torres and Arantxa Gorospe and Jos{\'e} Mar{\'i}a Ram{\'i}rez Moreno and N. P. la Ossa and David C{\'a}novas and Juan F. Arenillas and Jos{\'e} {\'A}lvarez-Sab{\'i}n and P. Mart{\'i}nez S{\'a}nchez and Blanca Fuentes and Raquel Delgado-Mederos and Joan Mart{\'i}-F{\`a}bregas and Ana Rodr{\'i}guez Campello and Jaime Masju{\'a}n},
  journal={European Journal of Neurology},
  year={2013},
  volume={20}
}
Recently, brain and vascular imaging have been added to clinical variables to identify patients with transient ischaemic attack (TIA) with a high risk of stroke recurrence. The aim of our study was to externally validate the ABCD3‐I score and the same score taking into account intracranial circulation. 
An update on brain imaging in transient ischemic attack.
TLDR
Refinement of MR studies including high resolution DWI and perfusion imaging using either MRI or CT further improve the detection of ischemic lesions.
The Challenges of Stroke Prediction Scores.
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This 4-year retrospective study was conducted at 2 tertiary care centers and concluded that imaging, particularly vascular imaging, predicted recurrent or worsening CVEs while clinical parameters did not, and largevessel disease is associated with a high risk of recurrence or of worsening neurologic outcomes.
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The aim of this study was to determine the risk and risk factors for MI after TIA and to establish a smoking ban in patients with a history of smoking.
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TLDR
A pooled analysis of published and unpublished individual-patient data from 16 cohort studies of transient ischaemic attack done in Asia, Europe, and the USA found the ABCD3-I score reliably identified highest-risk patients at highest risk of a stroke after transient ischemic attack with improved risk prediction compared with ABCD2-I.
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Incidence and Predictors of Acute Ischemic Lesions on Brain Magnetic Resonance Imaging in Patients With a Clinical Diagnosis of Transient Ischemic Attack in China
TLDR
In patients with a clinical diagnosis of TIA, 29.3% demonstrated acute DWI lesions on brain magnetic resonance imaging (MRI) that were associated with motor weakness, speech abnormalities and higher ABCD3-I score at admission.
Imaging Parameters and Recurrent Cerebrovascular Events in Patients With Minor Stroke or Transient Ischemic Attack.
TLDR
In patients with minor stroke, vessel imaging and perhaps neuroimaging parameters, but not clinical scores, were associated with RCVEs in 2 independent data sets and prospective studies are needed to validate these predictors.
Predictors of Stroke Events in Patients with Transient Ischemic Attack Attributable to Intracranial Stenotic Lesions
TLDR
It is suggested that patients with a TIA attributable to intracranial artery disease who showed DWI lesions, prior ischemic stroke, or high serum levels of ALP on admission were at high risk of subsequent isChemic stroke events.
Clinical, Laboratory, and Imaging Characteristics of Transient Ischemic Attack Caused by Large Artery Lesions: A Comparison between Carotid and Intracranial Arteries
TLDR
Patients with TIA caused by large artery disease were more frequent and were at higher risk of early ischemic stroke than those with extracranial carotid artery occlusive lesions, highlighting the importance of prompt assessment of intracranial artery lesions in patients with Tia.
A Novel Clinical Nomogram to Predict Transient Symptomatic Associated with Infarction: The ABCD3-SLOPE Score
TLDR
Smoking history, low-density lipoprotein cholesterol, brain natriuretic peptide precursor, andABCD3 score were reliable risk factors for TSI and ABCD3-SLOPE was a potential tool to quantify the likelihood of TSI.
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