West W M, Younger N, Brady-West D, Gilbert D T, Char G, Barton E N
Department of Surgery, Radiology, Anaesthesia and Intensive Care, The University of the West Indies, Kingston 7, Jamaica, West Indies.
West Indian Med J. 2009 Jun;58(3):261-4.
To examine the pattern of stroke subtypes found on Computed Tomography (CT), Magnetic Resonance Imaging (MRI) at the University Hospital of the West Indies (UHWI), Kingston, Jamaica.
A retrospective review was conducted for all patients diagnosed with stroke and who were subjected to CT or MRI evaluation at UHWI between January 2001 and December 2004. Data were collected for patient age and gender and type of stroke.
Four hundred and thirty-three patients were identified and classified as having cerebral infarct, intra-parenchymal haemorrhage or subarachnoid haemorrhage. There were 414 patients who had CT scans and 19 had MRI scans. Within and across genders, over 80% suffered infarcts with no significant statistical difference between male and female patients. Subarachnoid haemorrhage was the least frequent subtype and occurred in younger patients.
The pattern of stroke subtypes seen in this population was similar to that of Australian and European cohorts of patients but differed from that reported in Asians. Ischaemic infarct was the most frequent stroke subtype followed by intra- parenchymal haemorrhage and subarachnoid haemorrhage. There was no gender predilection for any specific type of stroke.
研究在牙买加金斯敦西印度群岛大学医院（UHWI）通过计算机断层扫描（CT）、磁共振成像（MRI）所发现的中风亚型模式。
对2001年1月至2004年12月期间在UHWI被诊断为中风并接受CT或MRI评估的所有患者进行回顾性研究。收集患者的年龄、性别及中风类型等数据。
共识别出433例患者，分为脑梗死、脑实质内出血或蛛网膜下腔出血。其中414例患者进行了CT扫描，19例进行了MRI扫描。在不同性别患者中，超过80%为梗死，男性和女性患者之间无显著统计学差异。蛛网膜下腔出血是最不常见的亚型，且多见于年轻患者。
该人群中所见的中风亚型模式与澳大利亚和欧洲患者队列相似，但与亚洲报道的情况不同。缺血性梗死是最常见的中风亚型，其次是脑实质内出血和蛛网膜下腔出血。任何特定类型的中风均无性别倾向。
