Cerebrovascular regulation in patients with active tumors and an acute ischemic stroke: a retrospective analysis
2024

Cerebrovascular Regulation in Stroke Patients with Active Tumors

Sample size: 39 publication Evidence: moderate

Author Information

Author(s): Lakatos Lehel-Barna, Bolognese Manuel, Oesterreich Mareike, Müller Martin, Karwacki Grzegorz Marek

Primary Institution: Department of Neurology and Neurorehabilitation, Lucerne, Switzerland

Hypothesis

Cerebrovascular regulation in active tumor patients with a stroke is different from other patients with stroke who have no active tumor disease.

Conclusion

The study found that cerebrovascular regulation in active tumor patients exhibited a higher gain in high frequency ranges, indicating a generalized high vascular resistance.

Supporting Evidence

  • The study included a total of 337 patients treated at the stroke unit, with 39 having a history of extracranial tumor disease.
  • Gain was significantly higher in the active tumor group in the high frequency range compared to other stroke subgroups.
  • Phase was not significantly different between the four stroke groups in any frequency range.

Takeaway

This study looked at how blood flow is controlled in the brains of stroke patients with cancer. It found that those with active tumors have different blood flow control compared to others.

Methodology

The study analyzed cerebral blood flow regulation using transfer function analysis in four stroke groups within 72 hours after an acute ischemic stroke.

Potential Biases

Potential confounding factors related to the small sample sizes and retrospective nature of the study.

Limitations

The study was retrospective with small sample sizes for the tumor groups, which may limit the generalizability of the findings.

Participant Demographics

The study included 20 patients with active tumors and 19 with inactive tumors, with a balanced age and sex distribution across the groups.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fphys.2024.1423195

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