Comparison among patient with lacunar cerebral infarct and deep primary intracerebral hemorrhages
Keywords:
hypertension, cerebral infarction, cerebral hemorrhageAbstract
It was carried out a descriptive and prospective study of the hypertensive patients with diagnostic of lacunar cerebral infarct or deep primary intracerebral hemorrhages in acute phase who were assisted in the intermediate care Unit and in the neurology Service of the Provincial University Hospital Arnaldo Milián Castro during the period among July 1 2000 to June 30 2001. We intended to compare the factors of cerebrovascular risk, the localization of the lesions and the prognosis among hypertensive patients with lacunar cerebral infarct and deep primary intracerebral hemorrhages, and the relationship of these factors in the functional state at the time of remission and in the mortality. For the statistical analysis it was created a database of the results obtained in the pattern of collection of data and later it was used Windows SPSS program. We find that the lacunar cerebral infarct and deep primary intracerebral hemorrhages have the same localization in deep areas of the brain, the affectation of same arteries, and also that the main factor of risk is the arterial hypertension. Besides the fundamental difference (isquemia versus hemorrhage) there are other differences in the behaviour of the factors of risk, in the specific localization of the lesion and in the prognosis at the time of remission. These findings made us consider that the differences in certain factors of risk and in specific localization of the lesions can be the key to explain the outcome of the ischemic and hemorrhagic lesion of the small cerebral arteries.Downloads
References
1. Fernández Concepción O, Pando Cabrera A, Buergo Zuasnábar MA, Mestre Miguelez R, Moreno Lamas J. Enfermedad cerebrovascular. En: Álvarez Sintes R. Temas de Medicina General Integral. Vol 2. La Habana: Editorial Ciencias Médicas; 2001. p. 895-911.
2. Chamorro Sánchez A, Kase CS. Accidentes vasculares cerebrales. En: Farreras-Rozman. Tratado de Medicina Interna. [CD-ROM] Madrid: Ediciones Harcourt; 2000.
3. Hidalgo Mesa CJ, Cepero Rodríguez I, Berrios Águila JE, Ulloa Quintanilla FO, Polanco Rodríguez F. Infarto cerebral: complicaciones y causas de muerte. Rev Cubana Med Milit [serie en Internet]. 2005 Ene-Mar [citado 01 Julio 2005]; 34(1):[aprox. 3p.]. Disponible en: http://bvs.sld.cu/revistas/mil/vol34_1_05/mil06105.htm
4. Fernández Concepción O, Buergo Zuaznábar MA. Diagnóstico de la enfermedad cerebrovascular isquémica. Rev Resumed [serie en Internet]. 2000 Jul-Ago [citado 01 Julio 2005];13(4):[aprox. 3p.]. Disponible en: http://www.bvs.sld.cu/revistas/res/vol13_4_00/res04400.htm
5. Turrent J, Talledo L, González A, Gundián J, Remuñán C. Comportamiento y Manejo de la enfermedad cerebrovascular en una Unidad de Cuidados Intensivos. Rev Cubana Med Intens Emerg [serie en Internet]. 2004 Jul-Sep [citado 01 Julio 2005];3(2):[aprox. 4p.]. Disponible en: http://www.bvs.sld.cu/revistas/mie/vol3_2_04/mie06204.htm
6. National Institute of Neurological Disorders and stroke. Classiffication of cerebrovascular diseases III. Stroke. 1990;21:637-741.
7. Bousser MG. Stroke in women. Circulation. 1999;99:463-7.
8. Gil de Castro R, Gil NAC. Factores de riesgo del ictus isquémico I. Factores de riesgo convencionales. Rev Neurol. 2000;31(4):314-23.
9. Santos LS, López del val J, Iñiguez C, Ortells M, Escalza I, Navas I. Diabetes mellitus e ictus. Rev Neurol. 2000;31(1):14-16.
10. Beltrán I, Lago A, Tembl JI, Landete L, Geffner D. Infarto lacunar y hemorragia cerebral profunda: comparación de factores de riesgo. Rev Neurol. 1998;27(158):635-9.
11. Irimia SP, Moya MM, Martínez VE. Aspectos clínicos y factores pronósticos en la hemorragia intracerebral. Rev Neurol. 2000;31(2):192-8.
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms:
- Authors will retain their copyright and assign to the journal the right of first publication of their work, which will simultaneously be subject to a Creative Commons License / Attribution-Noncommercial 4.0 International (CC BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
- Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g., depositing it in an institutional repository or publishing it in a monographic volume) as long as the initial publication in this journal is indicated.
- Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which can produce interesting exchanges and increase citations of the published work. (See The effect of open access).