ABSTRACT
Stroke is a leading cause of mortality and disability in Brazil. Among the risk factors for cerebrovascular disease, some have more influence than others in certain stroke subtypes. Little data are available in the literature on the prevalence of stroke subtypes in Latin America. We analyzed data from 688 patients with acute ischemic stroke (52.3% women; mean age, 65.7 years) who were enrolled in a stroke data bank. Standardized data assessment and stroke subtype classification were used. The most common stroke subtype was large-artery atherosclerosis (n = 223; 32.4%), followed by cardioembolism (n = 195; 28.3%), and microangiopathy (n = 127; 18.5%). Stroke risk factors differ among stroke subtypes. The population of South America is ethnically diverse, and few previous studies have describe the distribution of risk factors among stroke subtypes in this population. In this study, the most important risk factors were hypertension and dyslipidemia.
Subject(s)
Stroke/epidemiology , Aged , Brazil/epidemiology , Cerebral Small Vessel Diseases/epidemiology , Chi-Square Distribution , Dyslipidemias/epidemiology , Female , Heart Diseases/epidemiology , Humans , Hypertension/epidemiology , Intracranial Arteriosclerosis/epidemiology , Intracranial Embolism/epidemiology , Male , Middle Aged , Prevalence , Risk Factors , Stroke/classification , Stroke/diagnosisABSTRACT
A hanseníase é uma doença infecto-contagiosa, que além de alterações dermatológicas, possui manifestações neurológicas. Relatamos o caso de um homem de 66 anos, que apresentou nevralgia do trigêmeo após ter apresentado quadro de hanseníase.
Hansen's disease is an infectious disease that presents with skin changes, as well as neurological features. We report a case of a 66 years man, who presented with trigeminal neuralgia after developing Hansen's disease.
Subject(s)
Humans , Male , Aged , Facial Pain , Leprosy/complications , Leprosy/diagnosis , Trigeminal Neuralgia/etiology , Trigeminal Neuralgia/drug therapy , Brazil , Communicable Diseases , Carbamazepine/therapeutic use , Peripheral NervesABSTRACT
A cefaléia hipnica é um distúrbio extremamente raro, com critérios diagnósticos bem estabelecidos e que apresenta resposta terapêutica a medicações que não são de emprego usual no tratamento de cefaléia. Relatamos o caso de um paciente masculino de 46 anos que foi tratado com carbonato de lítio com excelente resultado.
The hypnic headache is extremely rare, with established diagnostic criteria, and has therapeutic response to medications that have unusual employment in the treatment of headache. We report a case of a 46 years old male patient who was treated with lithium with excellent results.
