Functional Outcome of Patients with Posterior Circulation Stroke.

, Hwang, Chang Ho; , Chun, Min Ho

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2004;28(1):7-12.

Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Korea. mhchun@amc.seoul.kr

뇌 후순환부 뇌졸중 환자의 기능적 예후

황창호, 전민호

울산대학교 의과대학 서울아산병원 재활의학과

Abstract

Objective
To compare functional outcome of posterior circulation (PC) stroke with middle cerebral artery (MCA) stroke.
Method
We reviewed retrospectively 2,226 records of stroke patients admitted to our hospital from June 1992 to October 2001, and selected PC stroke patients as a case with exclusion criteria; the presence of other neurological disease, the history of previous stroke, or multiple brain lesions. Also, we considered MCA stroke patients matched to a case as a control. 28 patients were selected as a case and 24 patients as a control. We compared FIM gains and efficiencies.
Results
Self care FIM efficiency (0.56⁑0.45) of PC stroke was higher than that (0.43⁑0.24) of MCA stroke and sphincter FIM efficiency (0.04⁑0.10) of the former was lower than that (0.10⁑0.11) of the latter. But, we couldn't detect any difference in cognitive (0.09⁑0.14 vs. 0.14⁑0.14), motor (1.10⁑0.71 vs. 0.87⁑0.51), and total FIM efficiency (1.20⁑0.73 vs. 1.02⁑0.60).
Conclusion
Our study shows the functional outcome of PC stroke previously reported as controversial or rather poor result is favorable like that of MCA stroke, under active rehabilitation intervention. And so we think that comprehensive rehabilitation management is needed for functional regain even in patients with PC stroke. (J Korean Acad Rehab Med 2004; 28: 7-12)

Key Words: Posterior circulation stroke, Functional outcome, Middle cerebral artery stroke, Functional independence measure