| A clinical study on cerebrovascular accidents. |
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Young June Kim, Ho Sik Hong, Kyoung Mi Kim, Nam Cheul Kim, Hye Suk Chung, Min Su Kim |
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| 뇌졸증의 임상적 고찰 |
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김영준, 홍호식, 김경미, 정혜숙, 김민수 |
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성남병원 가정의학과 |
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| Abstract |
One hundred and fifteen cases of cases of cerebrovascular accidents admitted at Sung Nam hospital were studied clinically for 1 year from July, 1989 to June, 1990
Following results were obtained.
1. Of 115 cases of cerebrovascular accidents, cerebral hemorrhage was presented in 39.1%, cerebral thrombosis in 30.4%, T.I.A. in 23.5%, subarachnoid hemorrhage 7.0%.
2. The cerebrovascular accidents were most common in sixth decade.
3. The ratio between male and female is 1:1.74 in whole group.
4. 38 cases(33.0%)had the attacks in summer, 35 cases(30.4%)in winter, 22 cases(19.1%) in spring, 20 cases(17.4%)in fall.
5. Among the preceding diseases at the onset of carebrovascular accidents, hypertension was present in 55.7% in all cerebrovascular accidents in 57.8% of cerebral hemorrhage, in 45.7% of cerebral infarcion, in 50.0% of subarachnoid hemorrhage, in 66.7% of transient ischemic attack.
6. Most important precipitating factors in cerebral hemorrhage, cerebral infarction and subarachnoid hemorrhage, were thought to be emotional stress, whereas in transient ischemic attack was rest.
7. Prodromal symptom and sign at the onset of cerebrovascular accidents, headache was present in 100.0% of subarachnoid hemorrhage, in 46.7% of cerebral hemorrhage, in 40.0 of cerebral infarction, in 14.8% of transient ischemic attack. there were nausea and vomiting in 62.5% of subarachnoid hemorrhage, in 88.9% of transient ischemic attack, in 40.0% of cerebral hemorrhage, in 31.4% of cerebral infarction, hemiplegia in 74.3% of cerebral infarction, in 62.2% of cerebral hemorrhage, in 11.1% of transient ischemic attack, in zero percent of subarachnoid hemorrhage.
8. 29.6% of all cerebrovascular accidents patients were normal finding in E.K.G. on admission, most common abnormal finding were left ventricular hemorrhage(40.0%).
9. 41.7% of all cerebrovascular accidents in W.B.C. count were over 10,000/mm3, especially W.B.C. count in cerebral infarction(68.6%) and transient ischemic attack(81.5%) were less 10,000/mm3.
10. Mental state on admission in cerebrovascular accidents, was alert in 88.9% of transient ischemic attack, in 57.1% of cerebral infarction, in 50.0% of subarachnoid hemorrhage in 26.7% of cerebral hemorrhage, whereas semicoma or coma were in 42.2% of cerebral hemorrhage, in 17.2% of cerebral infarction, in 12.5% of subarachnoid hemorrhhage, in zero percent of transient ischemic attack.
11. Intracerebral hemorrhage occurred most frequently in basal ganglia(60.0%), followed by thalamus(17.8%), pons(11.1%), suboptical(6.7%), cerebellum(4.4%).
12. The progress of cerebrovascular accidents were closely correlated with the mental state on admission. |
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