Table 2.
Pt | MSD | OD | LD/SD | MD | CD | Others | Initial NIHSS | aTime to Radiologic Diagnosis | LOS | ICU LOS | Intubation | Symptoms at Hospital D/C | Discharge Location |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Comatose | VGP, anisocoria, diplopia, right III palsy | N | N | N | L Babinski, unsteady | 1 | 1 day, 9 hours, 46 minutes | 4 days | None | N | Ocular and balance symptoms | Home |
2 | Alert | VGP, anisocoria, diplopia | Dysarthria | Y | Ataxia | L Babinski, unsteady | 4 | Missing | 3 days | 1 night | N | Diplopia | Home |
3 | Obtunded | VGP, diplopia, left VI palsy | Dysarthria | N | N | N | 3 | 11 hours, 12 minutes | 13 days | None | N | Improving mental status, diplopia, gait instability | SNF |
4 | Stuporous | VGP, anisocoria, diplopia | Dysarthria | N | N | R pronator drift | 6 | 5 hours, 56 minutes | 5 days | None | At OSH | Diplopia | Home |
5 | Delirious | VGP | Dysarthria | N | N | R pronator drift, bilateral Babinski | 6 | 4 days, 14 hours, 43 minutes | 10 days | 2 days | N | Dysarthria, VGP | SNF |
6 | Obtunded | VGP | Dysarthria | N | N | Vertigo, bilateral Babinski, unsteady, dysphagia | 9 | 4 days, 4 hours, 43 minutes | 14 days | 8 days | 5 days | VGP | IRF |
7 | Stuporous | Pupils unreactive | N | N | N | Unsteady, incontinence | Missing | 2 days, 4 hours | 6 days | None | N | Gait instability | SNF |
8 | Delirious | VGP, anisocoria, diplopia | Dysarthria, anomia | Y | N | R pronator drift | 2 | 11 hours, 14 minutes | 8 days | 3 days | N | Diplopia | SNF |
9 | Stuporous | VGP, pupils unreactive | N | Y | N | Vertigo | 9 | 17 hours, 43 minutes | 13 days | 4 days | 4 days | Weakness, VGP | IRF |
10 | Obtunded | VGP, diplopia | N | Y | N | Bilateral Babinski | 1 | 4 days, 21 hours, 56 minutes | 7 days | 2 days | N | Diplopia | SNF |
11 | Stuporous | Anisocoria | Dysarthria | Y | N | Bilateral Babinski, clonus | 16 | 3 hours, 35 minutes | 5 days | 1 day | N | None | Home |
12 | Obtunded | VGP | N | N | N | R Babinski, dysphagia | 23 | 1 day, 1 hour, 52 minutes | 11 days | 3 days | 2 days | Improving mental status, VGP, paucity of speech | IRF |
Abbreviations: CD, cerebellar disturbance; D/C, discharge; ICU, intensive care unit; IRF, inpatient rehabilitation facility; L, left; LD, language disturbance; LOS, length of stay; MD, motor disturbance; MSD, mental status disturbance; N, no; NIHSS, National Institutes of Health Stroke Scale; OSH, outside hospital; OD, ocular disturbance; Pt, patient; R, right; SD, speech disturbance; SNF, skilled nursing facility; VGP, vertical gaze palsy; Y, yes.
aTime to radiologic diagnosis defined as follows: duration of time from arrival at our hospital to radiologic diagnosis of artery of Percheron infarct by our medical staff. If patient was already in hospital for another reason, the clock started at the onset of stroke symptoms.