Current Status of Cerebrovascular Disease in Korea

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

Journal of the Korean Neurological Association 1989;7(1): 179-187.

최근 국내 뇌졸중의 역학적 동향에 대한 연구

명호진, 이상복,노재규,윤병우,이원용,김명호,김주한,위봉애,정진상,권오상

서울대학교 신경과. 한양대학교 신경과. 충남대학교 신경과. ?중앙대학교 신경과.

Current Status of Cerebrovascular Disease in Korea

Ho-Jin Myung,M.D., Sang-Bok Lee,M.D., Jae-Kyu Rho,M.D., Byung-Woo Yoon,M.D., Won-Young Lee,M.D., Myung-Ho Kim,M.D., Joo-Han Kim,M.D., Bong-Ae Wie,M.D., Chin-Sang Chung,m.D., Oh-Sang Kwon,M.D.

Department of neurology , College of medicine, Seoul National University Department of neurology , College of medicine, Hanyang University, Department of neurology , College of medicine, Chungnam & Chung Ang University

Abstract

To evaluate the current status of cerebrovascular disease in Korea, we performed a retrospective study on 1260 cases of stroke who had been admitted to or had visited Seoul National University Hospital, Choongnam National University Hospital, Hanyang University Hosipital, and Chung Ang University Hospital in the period from Jul 1, 1986 to Jun 30, 1987. The incidence was highest in sixth and seventh decades. Ischemic stroke (51.1%) was more common thar, hemorrhagic stroke (47.6%), and thrombotic infarction was the leading type (37.7%) of all kinds of strokes. Middle cerebral arterial territory was the most commonly involved site in thrombotic and embolic stroke. Among intracerebral hemorrhage, basal ganglia hemorrhage was found in 47.7%, and was followed by thalamic(23.8%), lobar (15.3%) and pontine hemorrhage (9.4%). Primary intraventricular hemorrhage (IVH) was relatively rare (8 cases, 7.5% of all IVH), and hemorrhages in basal ganglia or thalamus frequently induced secondary IVH. 16 cases (10.7%) of subarachnoid hamorrhage were accompanied by secondary IVH. This study suggests changing trends of stroke in Korea, and multicenter prospective study using stroke registry is requird for confirmation.