Visual field impairment predicts recurrent stroke after acute posterior circulation stroke and transient ischemic attack

CNS Neurosci Ther. 2018 Feb;24(2):154-161. doi: 10.1111/cns.12787. Epub 2018 Jan 2.

Abstract

Aims: To evaluate whether visual field impairment (VFI) can predict stroke recurrence in patients with vertebral-basilar (VB) stroke.

Methods: A total of 326 patients were eligible for a VFI evaluation within 1 week of stroke onset. One-year follow-up data were obtained after VB stroke and other vascular events. All predictors were determined using Cox regression models.

Results: The overall incidence of recurrent VB stroke and transient ischemic attack (TIA) was 29% (n = 92). After multivariate adjustment, severe and moderate VFI were predictors of recurrent VB stroke and TIA.

Conclusions: VFI is an independent predictor of recurrent VB stroke and TIA.

Keywords: posterior circulation; prognosis; stroke; transient ischemic attack; vertebral-basilar stroke; visual field impairment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Ischemic Attack, Transient / complications*
  • Ischemic Attack, Transient / diagnosis*
  • Ischemic Attack, Transient / epidemiology
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Prevalence
  • Prognosis
  • Prospective Studies
  • Recurrence
  • Stroke / complications*
  • Stroke / diagnosis*
  • Stroke / epidemiology
  • Vision Disorders / diagnosis
  • Vision Disorders / epidemiology
  • Vision Disorders / etiology*
  • Visual Fields