Moghtaderi Ali, Alavi-Naini Roya
Department of Neurology, Zahedan University of Medical Sciences, Zahedan, Iran.
Iran J Med Sci. 2012 Sep;37(3):150-8.
Vascular diseases of the brain are the second reason of the death and the first cause of morbidity and disability worldwide. In tropical areas stroke has some particular features related to the nature of torrid zones. There are some special causes of the stroke, mainly infectious, although some of them are non-infectious. The most important etiologies are malaria, tuberculosis, cysticercosis, syphilis, and Chagas' disease. The mean age of the patients with stroke in tropical areas seems to be less than that in developed countries, and the disease is more prevalent in younger adults. Prevention and/or treatment of the classic risk factors as well as factors related to tropical zones are the mainstays of controlling the disease. It has to be mentioned that lack of human as well as financial resources makes it difficult to control and treat the disease properly. Herein, the etiologies and risk factors of the cerebrovascular diseases in tropical regions will be reviewd.
脑血管疾病是全球第二大致死原因,也是发病和致残的首要原因。在热带地区,中风具有一些与炎热地带性质相关的特殊特征。中风存在一些特殊病因,主要是感染性的,不过也有一些是非感染性的。最重要的病因是疟疾、结核病、囊尾蚴病、梅毒和恰加斯病。热带地区中风患者的平均年龄似乎低于发达国家,且该疾病在年轻成年人中更为普遍。预防和/或治疗经典风险因素以及与热带地区相关的因素是控制该疾病的主要手段。必须指出的是,人力和财力资源的匮乏使得难以对该疾病进行恰当的控制和治疗。在此,将对热带地区脑血管疾病的病因和风险因素进行综述。