Neurological and Behavioral Sequelae of Ischemic and Hemorrhagic Cerebrovascular Accidents in a Developing Country
Orlando J. Castejón1*, Galindez, P.2 & Salones M. Castejon2
1Instituto de Investigaciones Biologicas, Facultad de Medicina, Universidad del Zulia, Maracaibo, Venezuela
2Faculty of Medicine. Zulia University. and Clinical Neuroscience Institute, San Rafael Clinic Home, Maracaibo, Venezuela
Dr. Orlando J. Castejón, Instituto de Investigaciones Biologicas, Facultad de Medicina, Universidad del Zulia, Maracaibo, Venezuela.
Keywords: Cerebrovascular Accidents; Blood Hypertension; Neurological Sequelae; Behavioral Disorders
We have clinically studied 27 adult and old patients with one or multiple cerebral accidents. The hot weather and poor socio-economic environment were considered important risk factors for cerebrovascular accidents. We have found the following risk factors for patient age ranging from 39 to 89 years old: blood hypertension, senil demencia, diabetes mellitus, migraine, hyperlipidemia, cardiovascular pathology, tobacco smoking and alcoholic habits.
Blood hypertension was a risk factor in all cases examined (100%). Diabetes was found in eight patients associated with cerebrovascular accidents (28%). On case of myocardial infarction was found as risk factor for ischemic and hemorrhagic stroke. Preceding depression was associated with an increased risk of stroke and vascular dementia. We found just one case with associated Alzheimer Disease (4%). We found epilepsy in two patients with cerebrovascular accidents (7%). Migraine, especially with aura was a risk factor for both ischemic and hemorrhagic stroke. Fifteen patients presented left or right hemiparetic gait (70%), three cases with sleep disorders: somnolence and /or imsomnia (11%). Dysphagia, dysarthria and aphasia occurred in 7% of cases following stroke.
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