What are the predictors for the development of cerebral edema after MCA stroke
Predictors of Developing Edema after Middle Cerebral Artery (MCA) Stroke
| Clinical | Imaging |
|---|---|
| Early reduced GCS—most specific | Frank hypodensity within first 6 hours |
| Early nausea vomiting <24 hours | Involvement of >1/3 MCA territory |
| Younger patients <50 year | Dense MCA sign |
| Female sex | T occlusion of distal ICA/proximal MCA occlusion |
| CHF | Septum pellucidum midline shift ≥5 mm within the first 2 days |
| Leukocytosis | MRI DWI volume >80 cm 3 within 6 hours predicts rapid fulminant course |
GCS , Glasgow Coma Scale; ICA , internal carotid artery; MRI , magnetic resonance imaging; DWI , diffusion-weighted imaging; CHF , congestive heart failure.
