| 급성뇌경색증의 임상경과에 영향을 미치는 요인들
-피질뇌경색증과 소공뇌경색증에서의 비교 |
| 손영호, 이병인 ,허 균, 김승민, 선우일남, 김진수, 김기환, 김원주, 김진호, 문준식, 박재현, 최영철, 김우경, 김윤중, 김지현 , 석승한, 김경한, ?박수철, 정재우, 황성희, 박영관, 이병철, 허경 |
| 연세대학교 신경과. 한림대학교 신경과. 봉생병원, 신경과. |
| The Factors Influencing the Clinical Course of Acute Cerebral ?Infarctions
(Cortical Versus Lacunar Infarction)
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| Yonug Ho Sohn, Byung In Lee, M.D, Kyoon Huh, M.D,Seung Min Kim, M.D,.Il Nam Sunwoo, M.D., Jin-Soo Kim, M.D., Ki Whan Kim, M.D., Won Joo Kim, M.D.,Jin Ho Kim, M.D., Joon Sik Moon, M.D., Jae Hyun Park, M.D., Young Chul Choi, M.D., Woo Ky |
| Department of Neurology, Yonsei Uinversity College of Medicine,
Department of Neurology, Hanlim University College of Medicine,
Department of Neurology, Bong Saeng Hospital |
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| Abstract |
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We think that the clinical courses of lacurlar infarctions are somewhat different from those of cortical ones, because the ischemic penumbra, a keystone of acute infarct recovery, of the former is rnore limitted than that of the latter. Therefore, we analyzed the selected data, 38 cortical and 33 lacunar infarct patients, from Severance Stroke Registry which were recorded from May, 1989 to April, 1990, to demonstrate and compare the differences of the clinical courses and its influencing factors between the cortical and lacunar infarcts. Our results suggested as follows first, the initial neurologic deficits of cortical infarctions are rnore serious than those of lacunar infarctions, but with the better short-term improvements of tbe former, the short-term motor outcome between the two types of infarcts are not significantly different second, whiIe the short-term improvernent of cortical infarcs is influenced by initial hematocrit level, the short-term motor outcome and the degree of improvement of lacunar infarcts are influenced by the patient's age. |
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