A Clinical Features of Recurrent Cerebrovascular Accidents

J Korean Neurol Assoc > Volume 7(1); 1989 > Article

Journal of the Korean Neurological Association 1989;7(1): 1-9.

재발된 뇌졸중에 관한 임상적 고찰

정원영, 손영호,이영진,이성수,이명식,최일생,정태섭

연세대학교 신경과, 방사선과.

A Clinical Features of Recurrent Cerebrovascular Accidents

Won-Young Jung,M.D., Young-Ho Shon, M.D., Sung-Soo Lee,M.D., Myung-Sik Lee,M.D., Il-Saing Choi,M.D., Tae-Sub Chung,M.D.

Department of neurology, Yong Dong Severance Hospital, College of Medicine, Yonsei University Department of Radiology, Yong Dong Severance Hospital, College of Medicine, Yonsei University Department of Pathology

Abstract

Despite of high recurrenre rate of oerebrovascular accidents(CVA), little attntion had been given to the features of its' recurrence. Of 167 patients with recurrent CVA between March, 1985 and Febnuary, 198.103 patients wer included in this study. Sixty of them were men and 43 of them were women, Their ages ranged from 29 to 8 years(mean. 6.5 ears), with the peak inidence in the sixth and seventh decades .The mean interval between first and second CVA was 23.4 months(range, 1to 144 months) Eighty-one patients had at least more tha one of isk factors, but onl 3 had been received proper treatment. There were tendencies to recur same type and site with the first attack, The patient with history of heart disase. Abnormal eletrocardiographic features, increased fasting bloo sugar(p<0.01), high diastolic bloo pressres (p<0.05)had poo prognois And, the patients ith embolism or hemorrhage revealed poo prognosis than the patients with trombosis(p<.05).