Bahou Y, Hamid H, Hadidi A
Department of Internal Medicine, Division of Neurology, Jordan University, Amman, Jordan.
East Mediterr Health J. 2004 Jan-Mar;10(1-2):138-46.
A retrospective study was made of 200 consecutive patients with first-ever ischaemic stroke, admitted to Jordan University Hospital over a 2-year period. The mean age was 61.2 years (range 29-95). The most common stroke subtype was lacunar infarct (51.5%), but frequency of cardioembolic stroke was low (8.0%). Hypertension, diabetes mellitus and smoking were the most common risk factors for atherosclerotic non-cardioembolic stroke. Chronic atrial fibrillation was the most common risk factor for cardioembolic stroke. No patient had severe extracranial carotid or vertebral artery stenosis (> 50% narrowing). Lacunar strokes presented predominantly as pure motor stroke (67/103) and were mainly in the internal capsule (34/ 103). The favourable outcome (85% discharged home) may be due to the relatively young age and the predominance of lacunar infarcts.
对连续200例首次发生缺血性卒中的患者进行了一项回顾性研究,这些患者在两年时间内被收治于约旦大学医院。平均年龄为61.2岁(范围29 - 95岁)。最常见的卒中亚型是腔隙性梗死(51.5%),但心源性栓塞性卒中的发生率较低(8.0%)。高血压、糖尿病和吸烟是动脉粥样硬化性非心源性栓塞性卒中最常见的危险因素。慢性心房颤动是心源性栓塞性卒中最常见的危险因素。没有患者存在严重的颅外颈动脉或椎动脉狭窄(狭窄>50%)。腔隙性卒中主要表现为纯运动性卒中(67/103),且主要位于内囊(34/103)。良好的预后(85%出院回家)可能归因于相对年轻的年龄以及腔隙性梗死占主导地位。