Lacunar stroke in patients with intermittent claudication.
Paraules clau
Resum
OBJECTIVE
To compare the characteristics of lacunar stroke (LS) in patients with and without intermittent claudication.
METHODS
Data of 484 consecutive patients with LS were collected from a prospective hospital-based stroke registry in which 2500 patients are included.
RESULTS
Of the 142 patients with ischemic stroke and intermittent claudication, 39 (27.5%) had LS (8% of all lacunes). In the multivariate analysis, small centrum ovale topography (odds ratio 7.35), carotid stenosis >50% (odds ratio 3.17), and absence of limitation at discharge (odds ratio 2.01) were independent variables significantly associated with LS in patients with intermittent claudication.
CONCLUSIONS
Only 8% of patients with LS had intermittent claudication. The short-term prognosis is good with a spontaneous early neurological recovery at discharge in 51.3% of patients. LS patients with intermittent claudication showed a striking similarity in risk factors and clinical syndromes in comparison with the LS patients without intermittent claudication.
