RESUMO
In view of the higher prevalence of severe ischemic stroke among patients with atrial fibrillation (AF) and of the recently reported higher frequency of stroke with AF in females, 516 consecutive patients with ischemic stroke, of whom 93 had AF, were retrospectively evaluated. The main anamnestic, clinical and laboratory features of the AF and non-AF groups were statistically compared and the features of the AF group were statistically evaluated according to gender and age. Our results confirm the greater severity of stroke in AF patients than in non-AF patients and the higher frequency of stroke with AF in female patients. Moreover, a significantly higher frequency of stroke with AF was found in the male 60-69 and the female 80-89 age groups than in the other age groups. Relevant risk factors in females aged 80-89 were hypertension and left ventricular hypertrophy (LVH), while diabetes, alcohol, smoking and LVH prevailed among 60-69 year old males.
Assuntos
Fibrilação Atrial/complicações , Isquemia Encefálica/complicações , Transtornos Cerebrovasculares/complicações , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Isquemia Encefálica/diagnóstico , Isquemia Encefálica/epidemiologia , Transtornos Cerebrovasculares/diagnóstico , Transtornos Cerebrovasculares/epidemiologia , Eletroencefalografia , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco , Índice de Gravidade de Doença , Fatores Sexuais , Tomografia Computadorizada por Raios XRESUMO
A case of ischemic myelopathy which was marked by two clinical episodes, separated by a 4-month interval and affecting the same level of the spinal cord, is reported. A wide-ranging search through the literature shows that the recurrent type of ischemic vascular myelopathy is very rare.
Assuntos
Atrofia Muscular Espinal/fisiopatologia , Medula Espinal/patologia , Idoso , Feminino , Humanos , Atrofia Muscular Espinal/patologia , Recidiva , Medula Espinal/irrigação sanguíneaRESUMO
Five patients in deep coma due to extensive supratentorial lesions presented roving lateral eye movements (ping-pong gaze), distinguished by the fact that the eyes, after moving to one extreme of gaze, returned to the midline instead of to the opposite extreme. The phenomenon was reported recently by Reynard et al.
Assuntos
Encéfalo/patologia , Coma/diagnóstico , Movimentos Oculares , Idoso , Coma/patologia , Feminino , Humanos , MasculinoRESUMO
Report of a case of typical bobbing occasionally interpolated by reverse bobbing. The causative lesion, which lay in the most dorsal median portion of the pontine tegmentum, was a small primary hemorrhage, diagnosed in life by CT scanning and confirmed at necropsy. The pathological and clinical correlations of the phenomenon are discussed.
Assuntos
Hemorragia Cerebral/fisiopatologia , Movimentos Oculares , Ponte/fisiopatologia , Idoso , Hemorragia Cerebral/patologia , Eletroencefalografia , Feminino , Humanos , Ponte/patologia , Tomografia Computadorizada por Raios XRESUMO
Serotoninergic function has been evaluated in 15 H.C. patients. Therapeutic results obtained with an inhibitor of 5 HT reuptake (Fenfluramine) were evaluated in comparison to the effects of L-5HTP, CSF-5HIAA measurements were performed is each case before and after treatment. The pathological role of 5HT impairment in H. C. can not be excluded by the behavioral effects and CSF-5HIAA modifications that were observed.
