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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >The Sustained DeyeCOM Sign as a Predictor of Large Vessel Occlusions and Stroke Mimics
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The Sustained DeyeCOM Sign as a Predictor of Large Vessel Occlusions and Stroke Mimics

机译：持续的Deyecom标志作为大容器闭塞和中风模仿的预测因子

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Introduction: Rapid imaging in acute stroke is critical and often occurs before full examination. Early, reliable examination findings clarify diagnosis and improve treatment times. The DeyeCOM sign has been described as a predictor of ischemic stroke. In this study, we evaluate a sustained DeyeCOM sign on serial computed tomography scans in prediction of large vessel occlusion. Methods: Between April and June 2017, we retrospectively reviewed 46 patients with acute stroke from the University of California, San Diego Stroke Registry, who had both computed tomography and computed tomography angiography as part of their acute workup. A DeyeCOM(+) sign was defined as a conjugate gaze deviation on imaging of at least 15 degrees. DeyeCOM(++) was defined as sustained gaze deviation on both scans. Results: Three groups of patients were observed: DeyeCOM(++), nonsustained gaze deviation, and no gaze deviation (DeyeCOM(-)). All patients in the DeyeCOM(++) (8 of 8, 100%) had large vessel occlusion. Of those with nonsustained gaze deviation, 2 of 7 (29%) had large vessel occlusion. No patients in the DeyeCOM(-) (0 of 31, 100%) had large vessel occlusion. The specificity and sensitivity of DeyeCOM(++) for large vessel occlusion was 100% (confidence interval [CI].90-1.0) and 80% (CI.44-.97). The specificity and sensitivity of DeyeCOM(-) for absence of large vessel occlusion was 100% (CI.69-1.0) and 86% (CI.70-.95). Conclusions: DeyeCOM(++) had 100% specificity for large vessel occlusion, whereas DeyeCOM(-) had a 100% specificity for absence of large vessel occlusion. Sustained DeyeCOM, whether positive or negative, is a strong predictor of ultimate diagnosis that could lead to quicker endovascular treatment times.
机译：简介：急性中风中的快速成像至关重要，并且经常发生在完全检查之前。早期，可靠的检查结果明确诊断和改善治疗时间。 Deyecom标志已被描述为缺血性卒中的预测因子。在这项研究中，我们评估了在大血管闭塞预测中持续的Deyecom标志。方法：2017年4月至6月，我们回顾性地审查了加州大学圣地亚哥中风登记处的46名急性中风患者，他们将计算机断层扫描和计算机断层造影造影视为其急性次数的一部分。 Deyecom（+）标志被定义为缀合物凝视偏差至少15度的成像。 Deyecom（++）被定义为两次扫描的持续凝视偏差。结果：观察到三组患者：Deyecom（++），无污染的凝视偏差，没有凝视偏差（Deyecom（ - ））。 Deyecom（++）（共8个，100％）的所有患者都有大血管闭塞。具有耐受凝视偏差的人，其中7个（29％）具有大血管闭塞。没有患者在Deyecom（ - ）（31％，100％中）具有大容器闭塞。 Deyecom（++）对大容器闭塞的特异性和敏感性为100％（置信区间[CI] .90-1.0）和80％（CI.44-.97）。 Deyecom（ - ）对没有大容器闭塞的特异性和敏感性为100％（CI.69-1.0）和86％（CI.70-.95）。结论：Deyecom（++）对大容器闭塞的100％特异性，而Deyecom（ - ）具有100％的特异性，不能没有大容器闭塞。持续的Deyecom，无论是阳性还是否定，都是最终诊断的强烈预测因素，可能导致血管内治疗时间更快。

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