Risk factors and specific stroke types of cerebrovascular accident cases at marmara medical school neurology department

Authors : N Afşar, S Aktan, C Aykut

Pages : 22-26

View : 15 | Download : 8

Publication Date : 1994-01-01

Article Type : Research Paper

Abstract :Between January 1989 and July 1992, 120 patients were seen at the Marmara University School of Medicine, Neurology Department with the diagnosis of stroke. Of those 47 were women and 73 were men with a mean age 59.6 insert ignore into journalissuearticles values(age 29 to 87);. The types of stroke were found to be: intracerebral bleeding insert ignore into journalissuearticles values(16.7%);, transient ischemic attack insert ignore into journalissuearticles values(TIA); insert ignore into journalissuearticles values(13.8%);, large vessel infarction insert ignore into journalissuearticles values(48.3%); and lacunar infarction insert ignore into journalissuearticles values(16.7%);. The majority of intracerebral bleedings were of hypertensive type insert ignore into journalissuearticles values(64.7%);, the rest being of cerebral amyloid angiopathy type insert ignore into journalissuearticles values(35.3%);. The infarcts were thrombotic insert ignore into journalissuearticles values(72.4%); or embolic insert ignore into journalissuearticles values(27.6%); in etiology. In 75.9% of cases the infarcts were located in the territory of middle cerebral artery insert ignore into journalissuearticles values(MCA); while the anterior cerebral artery and vertebrobasilar system territory were affected in 20.6% and 3.5% respectively. The most frequently encountered risk factor was hypertension insert ignore into journalissuearticles values(68.3%); followed by heart diseases insert ignore into journalissuearticles values(49%);; hiperlipidemia insert ignore into journalissuearticles values(40.8%);; smoking insert ignore into journalissuearticles values(26.7%);; diabetes insert ignore into journalissuearticles values(23.4%);; obesity insert ignore into journalissuearticles values(5.8%);. Apart from those 4 patients were diagnosed as having moyamoya disease, protein-C deficiency, infarction due to cocam-related thrombosis and fibromuscular dysplasia. Three patients were found to have primary antiphospholipid antibody syndrome. One patient had vasculitis due to tuberculous meningitis.
Keywords : Stroke risk factors, large vessel infarction, lacunar infarction