Brain Frailty and Functional Outcomes After Thrombolysis for Acute Ischemic Stroke

In this cohort study of patients with AIS treated with intravenous thrombolysis, brain frailty markers-particularly white matter changes, cortical atrophy, and total brain frailty-were associated with worse outcomes. Consideration of these neuroimaging markers may better inform clinicians and patients about treatment expectations from thrombolytic therapy.

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Publication Details

Journal
JAMA Network Open
Published
2025-09-30
DOI
https://doi.org/10.1001/jamanetworkopen.2025.34941
Citations
6
Primary Topic
Acute Ischemic Stroke Management
Type
article
Field-Weighted Citation Impact
8.13
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article

Brain Frailty and Functional Outcomes After Thrombolysis for Acute Ischemic Stroke

Faysal Benali, Houman Khosravani, Aleksandra Pikula, Aleksander Tkach et al.
6 citations
JAMA Network Open
Acute Ischemic Stroke Management
8.13
article

Brain Frailty and Functional Outcomes After Thrombolysis for Acute Ischemic Stroke

Faysal Benali, Houman Khosravani, Aleksandra Pikula, Aleksander Tkach, Brian H Buck, Aravind Ganesh, Spencer P. Loewen, Mohammed Almekhlafi, Dar Dowlatshahi, Gary Hunter, William Betzner, Michel Christopher Frank Shamy, Federico Carpani, Mahesh Kate, Rick Swartz, Nishita Singh, Fouzi Bala, Thalia Shoshana Field, Luciana Catanese, Kaden Lam, Bijoy K. Menon, Tolulope T. Sajobi, Ibrahim Alhabli
article en
6 citations

Abstract

In this cohort study of patients with AIS treated with intravenous thrombolysis, brain frailty markers-particularly white matter changes, cortical atrophy, and total brain frailty-were associated with worse outcomes. Consideration of these neuroimaging markers may better inform clinicians and patients about treatment expectations from thrombolytic therapy.

JAMA Network OpenVol. 8(9)
Université de Tours (FR), Sunnybrook Health Science Centre (CA), University of British Columbia (CA), University of Ottawa (CA), University of Alberta (CA), University of Calgary (CA), University of Toronto (CA), Toronto Western Hospital (CA), Ottawa Hospital (CA), Kelowna General Hospital (CA), Health Sciences Centre (CA), Population Health Research Institute (CA), University of Saskatchewan (CA), O'Brien Institute (AU), Centre Hospitalier Universitaire de Tours (FR), AZ Sint-Blasius (BE), Ottawa Hospital Research Institute (CA), University of Manitoba (CA), McMaster University (CA)
Openalex Percentile: Top 2%
Acute Ischemic Stroke Management
8.13
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