Akademik Veri Yönetim Sistemi
Turk Beyin Damar Hastaliklar Dergisi, cilt.12, sa.2, ss.45-51, 2006 (Scopus)
Objective: Although it is important to know the prognosis of stroke in the early stages of the event, it is not easy to evaluate the prognosis only with clinical examination on admission. Purpose: The aim of our study is to determine the prognostic value of transcranial magnetic stimulation (TMS) in a homogeneous group of patients with ischemic stroke due to middle cerebral artery territory infarction. Patients and Methods: Fifteen healthy subjects and forty patients with acute stroke due to middle cerebral artery territory infarction were studied. After the first TMS evaluation was performed within the three days after the event, the TMS test was repeated at the end of the first month. Bilateral hemispheres of the control subjects and the healthy hemispheres of the patients, healthy and lesioned hemispheres of the patients were compared. The functional recovery was assessed at fourth month with Orgogozo's MCA scale, NIH-NINDS score and Barthel index. Results and Conclusion : Statistically significant functional improvement was found in patients with MEP response at the end of fourth month. Our results showed that TMS technique provides a useful early prognostic indicator of functional recovery in ischemic stroke patients when used togethet with clinicical predictors.