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KMID : 0616619960020030157
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Journal of Soonchunhyang Medical College
1996 Volume.2 No. 3 p.157 ~ p.167
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Clinical Observations of Cerebrovascular Accidents
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金眞淑/Kim, Jean Sook
白正敏/曺方煥/金瑛/徐錫助/Paik, Cheong Min/Cho, Bang Whan/Kim, Young/Syh, Succ Jo
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Abstract
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Clinical observations were done on 210 cases of cerebrovascular accidents treated as in-patients at the Soon Chun Hyang Hospital over a period of 4 years, from Jan. 1975 to Dec. 1978.
The clinical classification of cerebrovascular accidents were cerebral hemorrhage, cerebral thrombosis, subarachnoid hemorrhage, cerebral embolism, and transient ischemic attack. The results were summarized as fo llows.
1. The ratio of the cerebrovascular accidents to the number of patients admitted to the department of internal medicine during the same period was 2.45%
2. Of 210 cases of cerebrovascular accidents, cerebral hemorrhage was presented in 41.43%, cerebral thrombosis in 32.38%, Subarachnoid hemorrhage in 17.62% cerebral embolism in 2.86 %, and transient cerebral ischemia in 5.71 %.
3. The cerebrovascular accidents were most common in the Sixth decade. The peak age incidence was 5th decade in cerebral hemorrhage and Subarachnoid bemorrhage, 6th decade in cerebral thrombosis and 7th decade in transient ischemic attack.
Cerebral embolism was evenly distributed in 5th and 7th decade.
4. The over-all mortality of cerebrovascular accidents was 42.86/. The cerebral hemorrhage revealed 65.52%, 29.73% in subarachnoid hemorrhage, 29.41% in cerebral thrombosis, 33.33 % in cerebral embolism, and 0 % in transient ischemic attack. Among the fatal cases of cerebrovascular accidents, 86.67% were dead within one week.
5. Among the preceeding diseases at the onset of cerebrovascular accidents, hypertension was present in 83.33% in all cerebrovascular accidents, in 91.95% of cerebral hemorrhage, in 91.89% of Subarachnoid hemorhage, in 76.47% of cerebral thrombosis, in 16.67% of cerebral embolism, and in 66.675vo of transient ischemic attack.
6. Important precipitating factors in cerebral hemorrhage was thought to be meal and drinking, walking and runing, emotional stress, in subarachnoid hemorrhage, physical working and emotional stress, whereas in cerebral thrombosis and cerebral embolism, rest and sleeping.
7. Prodromal symptoms and sings at the onset of cerebro vascular accidents, headache was present in 70.27% of subarachnoid hemorrhage, in 18.39 of cerebral hemorrhage, in 13.23% of cerebral thrombosis, in 27.77 % of cerebral embolism and transient ischemia.
There was nausea and vomiting in 78.38% of Subarachnoid hemorrhage, in 22.99 Olo of cerebral hemorrhage, in 5.88% of cerebral thrombosis, and in 1.1.11 % of cerebral embolism and transient ischemia.
8. Mean serum cholesterol levels were 217.04mg% in cerebral hemorrhage, 199.45 mg in subarachnoid hemorrhage, 203.81 mg Yo in cerebral thrombosis, 200.04 mg % in cerebral embolism, and 182.52 mg Yo in transient ischemic attack.
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