Academic Journal

Pathological Yawning in Patients with Acute Middle Cerebral Artery Infarction: Prognostic Significance and Association with the Infarct Location ; Pathological yawning in patients with acute middle cerebral artery infarction: Prognostic significance and association with the infarct location

التفاصيل البيبلوغرافية
العنوان: Pathological Yawning in Patients with Acute Middle Cerebral Artery Infarction: Prognostic Significance and Association with the Infarct Location ; Pathological yawning in patients with acute middle cerebral artery infarction: Prognostic significance and association with the infarct location
المؤلفون: Gündoğdu, Aslı Aksoy, Özdemir, A.Ö., Özkan, S.
بيانات النشر: Galenos Publishing House
سنة النشر: 2020
مصطلحات موضوعية: Anterior cerebral circulation, Infarct location, Middle cerebral artery infarction, Pathological yawning, Prognosis, glucose, adult, aged, Article, atrial fibrillation, blood oxygen tension, blood pressure, body temperature, cerebral artery disease, clinical outcome, cohort analysis, controlled study, coronary artery disease, cross-sectional study, demography, diabetes mellitus, disease activity, disease association, disease classification, disease duration, disease severity, emergency ward, female, glucose level, heart failure
الوصف: Background: Pathological yawning is a compulsive, frequent, repetitive yawning triggered by a specific reason besides fatigue or boredom. It may be related to iatrogenic, neurologic, psychiatric, gastrointestinal, or metabolic disorders. Moreover, it could also be seen in the course of an ischemic stroke. Aims: To determine whether pathological yawning is a prognostic marker of middle cerebral artery stroke and evaluate its relationship with the infarct location. Study Design: Cross-sectional study. Methods: We examined 161 patients with acute middle cerebral artery stroke, consecutively admitted to emergency department. Demographic information, stroke risk factors, stroke type according to Trial of Org 10172 in Acute Stroke Treatment classification, blood oxygen saturation, body temperature, blood pressure, heart rate, glucose levels, daytime of stroke onset, National Institutes of Health Stroke Scale score (National Institutes of Health Stroke Scale score, at admission and 24 h), modified Rankin scale (at 3 months), and infarct locations were documented. Pathological yawning was defined as ?3 yawns/15 min. All patients were observed for 6 hours to detect pathological yawning. National Institutes of Health Stroke Scale score >10 was determined as severe stroke. The correlation between the presence of pathological yawning and stroke severity, infarct location, and the short-and long-term outcomes of the patients were evaluated. Results: Sixty-nine (42.9%) patients had pathological yawning and 112 (69.6%) had cortical infarcts. Insular and opercular infarcts were detected in 65 (40.4%) and 54 (33.5%) patients, respectively. Pathological yawning was more frequently observed in patients with cortical, insular, and opercular infarcts (p<0.05). Pathological yawning was related to higher National Institutes of Health Stroke Scale scores. Patients with severe stroke (National Institutes of Health Stroke Scale score ?10) presented with more pathological yawning than those with mild to moderate strokes (p<0.05). ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 2146-3123
Relation: Balkan Medical Journal; Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı; https://doi.org/10.4274/balkanmedj.galenos.2019.2019.7.49; https://hdl.handle.net/20.500.11776/4883; 37; 24; 28; WOS:000503405700005; 2-s2.0-85077106438
DOI: 10.4274/balkanmedj.galenos.2019.2019.7.49
الاتاحة: https://hdl.handle.net/20.500.11776/4883
https://doi.org/10.4274/balkanmedj.galenos.2019.2019.7.49
Rights: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.65E5F161
قاعدة البيانات: BASE
الوصف
تدمد:21463123
DOI:10.4274/balkanmedj.galenos.2019.2019.7.49