Pathological Yawning in Patients with Acute Middle Cerebral Artery Infarction: Prognostic Significance and Association with the Infarct Location

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dc.authorscopusid57190847841
dc.authorscopusid7006505099
dc.authorscopusid7102661625
dc.contributor.authorGündoğdu, Aslı Aksoy
dc.contributor.authorÖzdemir, A.Ö.
dc.contributor.authorÖzkan, S.
dc.date.accessioned2022-05-11T14:05:04Z
dc.date.available2022-05-11T14:05:04Z
dc.date.issued2020
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Nöroloji Ana Bilim Dalı
dc.description.abstractBackground: Pathological yawning is a compulsive, frequent, repetitive yawning triggered by a specific reason besides fatigue or boredom. It may be related to iatrogenic, neurologic, psychiatric, gastrointestinal, or metabolic disorders. Moreover, it could also be seen in the course of an ischemic stroke. Aims: To determine whether pathological yawning is a prognostic marker of middle cerebral artery stroke and evaluate its relationship with the infarct location. Study Design: Cross-sectional study. Methods: We examined 161 patients with acute middle cerebral artery stroke, consecutively admitted to emergency department. Demographic information, stroke risk factors, stroke type according to Trial of Org 10172 in Acute Stroke Treatment classification, blood oxygen saturation, body temperature, blood pressure, heart rate, glucose levels, daytime of stroke onset, National Institutes of Health Stroke Scale score (National Institutes of Health Stroke Scale score, at admission and 24 h), modified Rankin scale (at 3 months), and infarct locations were documented. Pathological yawning was defined as ?3 yawns/15 min. All patients were observed for 6 hours to detect pathological yawning. National Institutes of Health Stroke Scale score >10 was determined as severe stroke. The correlation between the presence of pathological yawning and stroke severity, infarct location, and the short-and long-term outcomes of the patients were evaluated. Results: Sixty-nine (42.9%) patients had pathological yawning and 112 (69.6%) had cortical infarcts. Insular and opercular infarcts were detected in 65 (40.4%) and 54 (33.5%) patients, respectively. Pathological yawning was more frequently observed in patients with cortical, insular, and opercular infarcts (p<0.05). Pathological yawning was related to higher National Institutes of Health Stroke Scale scores. Patients with severe stroke (National Institutes of Health Stroke Scale score ?10) presented with more pathological yawning than those with mild to moderate strokes (p<0.05). The clinical outcomes and mortality rates showed no significant relationship with the occurrence of pathological yawning. Conclusion: Pathological yawning in middle cerebral artery stroke was associated with stroke severity, presence of cortical involvement, and insular and opercular infarcts. However, no association was found with long-term outcome and mortality. ©Copyright 2020 by Trakya University Faculty of Medicine / The Balkan Medical Journal published by Galenos Publishing House.
dc.identifier.doi10.4274/balkanmedj.galenos.2019.2019.7.49
dc.identifier.endpage28
dc.identifier.issn2146-3123
dc.identifier.issue1en_US
dc.identifier.pmid31594283
dc.identifier.scopus2-s2.0-85077106438
dc.identifier.scopusqualityQ3
dc.identifier.startpage24
dc.identifier.urihttps://doi.org/10.4274/balkanmedj.galenos.2019.2019.7.49
dc.identifier.urihttps://hdl.handle.net/20.500.11776/4883
dc.identifier.volume37
dc.identifier.wosWOS:000503405700005
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGündoğdu, Aslı Aksoy
dc.language.isoen
dc.publisherGalenos Publishing House
dc.relation.ispartofBalkan Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAnterior cerebral circulation
dc.subjectInfarct location
dc.subjectMiddle cerebral artery infarction
dc.subjectPathological yawning
dc.subjectPrognosis
dc.subjectglucose
dc.subjectadult
dc.subjectaged
dc.subjectArticle
dc.subjectatrial fibrillation
dc.subjectblood oxygen tension
dc.subjectblood pressure
dc.subjectbody temperature
dc.subjectcerebral artery disease
dc.subjectclinical outcome
dc.subjectcohort analysis
dc.subjectcontrolled study
dc.subjectcoronary artery disease
dc.subjectcross-sectional study
dc.subjectdemography
dc.subjectdiabetes mellitus
dc.subjectdisease activity
dc.subjectdisease association
dc.subjectdisease classification
dc.subjectdisease duration
dc.subjectdisease severity
dc.subjectemergency ward
dc.subjectfemale
dc.subjectglucose level
dc.subjectheart failure
dc.subjectheart rate
dc.subjecthospital admission
dc.subjecthuman
dc.subjecthyperlipidemia
dc.subjecthypertension
dc.subjectinfarct volume
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmetabolic syndrome X
dc.subjectmortality rate
dc.subjectNational Institutes of Health Stroke Scale
dc.subjectobservational study
dc.subjectoutcome assessment
dc.subjectprognosis
dc.subjectprognostic assessment
dc.subjectRankin scale
dc.subjectrisk factor
dc.subjecttobacco use
dc.subjecttransient ischemic attack
dc.subjecttreatment duration
dc.subjectyawning
dc.subjectadolescent
dc.subjectcerebral artery disease
dc.subjectcerebrovascular accident
dc.subjectchi square distribution
dc.subjectclassification
dc.subjectmiddle aged
dc.subjectnonparametric test
dc.subjectpathophysiology
dc.subjectphysiology
dc.subjectseverity of illness index
dc.subjectvery elderly
dc.subjectyawning
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectChi-Square Distribution
dc.subjectCross-Sectional Studies
dc.subjectFemale
dc.subjectHumans
dc.subjectInfarction, Middle Cerebral Artery
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPrognosis
dc.subjectSeverity of Illness Index
dc.subjectStatistics, Nonparametric
dc.subjectStroke
dc.subjectYawning
dc.titlePathological Yawning in Patients with Acute Middle Cerebral Artery Infarction: Prognostic Significance and Association with the Infarct Location
dc.title.alternativePathological yawning in patients with acute middle cerebral artery infarction: Prognostic significance and association with the infarct location
dc.typeArticle

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