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Analysis of Risk Factors and Etiologic Patterns of Acute Multiple Brain Infarcts in the Posterior Circulation |
Department of Neurology, Tongji Hospital, Tongji University, Shanghai 200065, China |
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Abstract 【Objective】To evaluate the risk factors and etiologic patterns of Acute Multiple Brain Infarcts in the Posterior Circulation. 【Methods】The 463 patients with acute cerebral infraction were enrolled. The patients were divided into acute multiple brain infarction(AMBI)group and acute single brain infarction (ASBI)group according to the lesion patterns on diffusion weighted imaging(DWI). The classification of etiology of the brain infarction was down based on the Trail of Org 10172 in Acute Stroke Treatment(TOAST).The patients were divided into young and middleaged group, oldaged group and advancedaged group. Then single variable analysis and the logistic regression analysis were conducted. 【Results】There were significant statistical differences in drinking, hyperlipidemia and lower limb vascular patch between the AMBI group and ASBI group(P<0.05). The logistic regression analysis showed that man(OR=2.833,95%CI:1.200~6.688)and hyperlipidemia(OR=2.332,95%CI:1.342~4.052)were independent risk factors for AMBI group. In the comparison of different ages in AMBI group, risk factors like drinking and smoking were more common in young and middleaged patients(P<0.05). Heart disease was usual in oldaged patients(P=0.001). 【Conclusion】Male and hyperlipidemia were independent risk factors for AMBI group. Smoking and drinking behaviors were commonest in young and middleaged patients in AMBI group, and heart disease in old and advancedaged patients.
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Received: 14 July 2015
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