Abnormal breathing patterns in stroke: relationship with location of acute stroke lesion and prior cerebrovascular disease. Issue 3 (23rd October 2006)

• Record Type: Journal Article
• Authors: Rowat, Anne M; Wardlaw, Joanna M; Dennis, Martin S
• Is Part Of: Journal of neurology, neurosurgery and psychiatry. Volume 78:Issue 3(2007)
• Page Start: 277
• Page End: 279
• Publication Date: 2006-10-23
• Subjects: CPB, central periodic breathing -- ICH, intracerebral haemorrhage -- IQR, interquartile range -- PVWML, periventricular white matter lesions; Neurology -- Periodicals; Nervous system -- Surgery -- Periodicals; Psychiatry -- Periodicals; 616.8
• DOI: 10.1136/jnnp.2006.102228
• Languages: English
• ISSNs: 0022-3050

Abstract

Abstract : Objective: To determine whether central periodic breathing (CPB) is associated with acute involvement of any particular part of the brain, or the extent of total damage in patients with acute stroke. Methods: CPB was identified using portable monitoring equipment in patients with stroke on admission. A neuroradiologist classified acute stroke lesions and prior cerebrovascular disease on brain images. Results: Among 134 patients with acute stroke, those with CPB were more likely to have a large acute stroke lesion in a cerebral hemisphere (p = 0.01) and more mass effect (p = 0.03). There was no association between CPB and severe prior cerebrovascular disease on imaging (p = 0.76). Conclusion: CPB is related to the acute (not old) lesions, particularly large acute cerebral hemispheric lesions with mass effect. A relationship between lesions in any discrete brain location (unilateral or bilateral) and CPB could not be shown.