Srinivasan K
Stroke. 1984 Jul-Aug;15(4):733-5. doi: 10.1161/01.str.15.4.733.
Mandurai City is a composite of many villages with a total population not exceeding one million. Undoubtedly more than 95% of the hospital patients come from the rural areas. Our Government Hospital is the largest and reflects the medical assistance provided for people of average and low income. In our experience, 15% of cerebrovascular strokes occur in those below 40 years of age. Meningovascular neurosyphilis in men (10-15%) and puerperal cerebral venous thrombosis in women (20%) were the two commonly proved causes. Haemorrhagic stroke was uncommon. Embolic strokes from rheumatic heart disease formed 10%. In over 50%, the cause of stroke was not clear. Among 150 patients with neurosyphilis, mostly men, 25 had cerebral arterial thrombosis with stroke syndrome. This study reports on 138 patients with cerebral venous thrombosis and 7 patients with arterial thrombosis in puerperium. Mortality was 20% and quality of survival was good. The incidence, clinical picture, and diagnostic investigations are discussed with a review of literature.
曼杜赖市由许多村庄组成，总人口不超过100万。毫无疑问，超过95%的医院患者来自农村地区。我们的政府医院是最大的，体现了为普通收入和低收入人群提供的医疗救助。根据我们的经验，15%的脑血管中风发生在40岁以下人群中。男性的脑膜血管性神经梅毒（10 - 15%）和女性的产褥期脑静脉血栓形成（20%）是两个常见的已证实病因。出血性中风并不常见。风湿性心脏病引起的栓塞性中风占10%。超过50%的中风病因不明。在150例神经梅毒患者中，大多数为男性，25例出现脑动脉血栓形成并伴有中风综合征。本研究报告了138例产褥期脑静脉血栓形成患者和7例产褥期动脉血栓形成患者。死亡率为20%，生存质量良好。结合文献综述，对发病率、临床表现和诊断检查进行了讨论。
