A Clinical Study of Stroke in Chronic Renal Failure

J Korean Neurol Assoc > Volume 11(1); 1993 > Article

Journal of the Korean Neurological Association 1993;11(1): 20-27.

만성신부전에서 발생한 뇌졸중에 관한 임상적 연구

김광수, 박성파,임정근,이동국,이상도,박영춘,박성배,김현철

계명대학교 신경과, 내과.

A Clinical Study of Stroke in Chronic Renal Failure

Kwang-Soo Kim, M.D., Sung-Pa Park, M.D., Jeong-Geon Lim, M.D., Dong-Kuck Lee, M.D., Sang-Doe Yi, M.D., Young-Choon Park, M.D., Seong-Bae Park, M.D., Hyun-Cheol Kim, M.D

Department of Neurology and Internal Medicine, College of Medicine Keimyung University

Abstract

The clinical characteristics arld prognosis of stroke were observed on 37 patients (25 men and 12 women) with chronic renal failure (CRF), who were admitted to Keimyung University Dongsan Hospital from Jan. 1984 to Aug. 1991. The results were as follows: 1. Their mean age was 50 years and the peak incidence was in the 5th and 6th decades. Male to female ratio was 2.1:1. 2. The stroke was complicated in 23 patients(2.0%) arnong 1179 hemodialized ones, and the mean duration of hemodialysis before attack of stroke was 15.7 months (1 week 46 months). 3. The causative renal diseases of CRF patients were as follows: 29 chronic glomerulonephritis, 6 hypertensive and 2 diabetic nephrosclerosis. 4. The major risk factors of stroke were hypertension, smoking, old age, hypercholesterolemia and it was suggested that heparin administration was also important factor in hemodialysis group. 5. The types of stroke were as follows: 11 intracerebral hemorrhage, 3 subdural hematoma, 2 subarachnoid hemorrhage and 4 cerebral infarction in hemodialysis group, and 6 cerebral infarction. 4 intracerebral hemorrhage, 2 subarachnoid hemorrhage and 1 transient ischemic attack in conservative treatment group. 6. The stroke was the most common cause of death in hemodialysis group. 7. The mortality rate of stroke was 82.6% in hemodialysis group and 7.1% in conservative treatment group.