Clinical features and prognosis analysis of acute corpus callosum infarction

Bibliographic Details
Title: Clinical features and prognosis analysis of acute corpus callosum infarction
Authors: PENG Dingyue, WANG Weijing, ZHANG Wei, YANG Yi, BAO Zhuohua, LYU Yuan, LI Shujuan
Source: Jichu yixue yu linchuang, Vol 45, Iss 2, Pp 234-238 (2025)
Publisher Information: Institute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College., 2025.
Publication Year: 2025
Collection: LCC:Medicine
Subject Terms: corpus callosum infarction, clinical features, etiological type, prognosis, Medicine
More Details: Objective To explore the clinical characteristics and prognostic analysis of acute corpus callosum infarction. Methods A total of 1 466 patients with acute cerebral infarction admitted to the Neurology Department of Jiangbin Hospital in Guangxi from January 2019 to October 2023 and Neurology Department of Fuwai Hospital, Chinese Academy of Medical Sciences from January 2022 to December 2022. Among them, 21 patients with acute corpus callosum infarction confirmed by MRI (observation group) and 25 patients with isolated subcortical infarction at the same period (control group) were selected. By comparing clinical data and follow-up information between two groups, we summarized the clinical characteristics of acute corpus callosum infarction, and analyzed the relevant factors affecting the prognosis of the corpus callosum infarction group. Results Acute corpus callosum infarction accounted for 1.43% (21/1 466) of patients with acute cerebral infarction in the same period. The main clinical manifestations include limb paralysis, cognitive decline, and speech impairment. Compared with the control group, the group with corpus callosum infarction had a longer onset visit time (P<0.05), more cognitive impairment (P<0.05), a higher proportion of mild stroke (P<0.05), more worsening symptoms during the course of the disease (P<0.05), a higher proportion of cardioembolic type (P<0.05), a lower proportion of small artery occlusion type (P<0.05) and a higher proportion of good prognosis (mRS score≤2 points) (P<0.05). The poor prognosis of corpus callosum infarction was found to be related to factors such as large lesions, multiple high-risk factors (≥3), concomitant lobar infarction and worsening of symptoms during the course of the disease. Conclusions Acute corpus callosum infarction often leads to cognitive impairment and mild limb paralysis, which frequently delays treatment. The poor prognosis is mainly related to factors such as lobar infarction, major lesions, and worsening of symptoms during the process.
Document Type: article
File Description: electronic resource
Language: Chinese
ISSN: 1001-6325
Relation: https://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/1001-6325-2025-45-2-234.pdf; https://doaj.org/toc/1001-6325
DOI: 10.16352/j.issn.1001-6325.2025.02.0234
Access URL: https://doaj.org/article/55e7bcb228344c0296a96c703c552c0b
Accession Number: edsdoj.55e7bcb228344c0296a96c703c552c0b
Database: Directory of Open Access Journals
More Details
ISSN:10016325
DOI:10.16352/j.issn.1001-6325.2025.02.0234
Published in:Jichu yixue yu linchuang
Language:Chinese