Comparison of four kinds of stroke risk score in the diagnosis of posterior circulation ischemia isolated vertigo
Abstract：Objective To evaluate the value of four stroke risk scores used in the diagnosis of posterior circulation ischemia isolated vertigo.Methods 409 patients with the only complaint of dizziness/vertigo were scored according to the Framingham stroke profile (FSP),age,blood pressure,clinicalfeatures,durationofsymptoms,diabetes (ABCD2),Essen stroke risk score (ESRS) and ischemic cardiovascular disease (ICVD) within 24 h after admission.The patients were divided into posterior circulation ischemia isolated vertigo group (group A,n=77) and non-posterior circulation ischemia isolated vertigo group (group B,n=332) according to their clinical characteristics and auxiliary examination findings.The role of the 4 scales in diagnosis of posterior circulation ischemic isolated vertigo was assessed according to the ROC curve.Results The FSP,ABCD2,ESRS and ICVD scores were higher in goup A than in group B (A group:males 20、females 19;3;3;males 9、females 9;B group:males 15、females 14;2;1;males 6、females 6,P＜ 0.01).The area under the ROC curve was 75.8％,75.9％,77.7％,75.6％ respectively for the 4 scales.The score of the 4 scales in predicting posterior circulation ischemia isolated vertigo was 18,3,3 and 6 respectively with an accuracy of 72.61％,69.68 ％,74.82 ％ and 68.46 ％.Conclusion The 4 scales play an important role in diagnosis of posterior circulation ischemia isolated vertigo.
Keywords：strokevertigobrain ischemiadiagnosis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1180-1183 )