Navegando por Palavras-chave "acidente cerebrovascular"

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    Dissecção espontânea das artérias carótidas e vertebrais em uma população multiétnica
    (Academia Brasileira de Neurologia - ABNEURO, 2007-12-01) Pieri, Alexandre [UNIFESP]; Spitz, Mariana [UNIFESP]; Valiente, Raul Alberto; Avelar, Wagner Mauad [UNIFESP]; Silva, Gisele Sampaio [UNIFESP]; Massaro, Ayrton Roberto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Hospital Santa Marcelina
    Spontaneous dissection of the carotid and vertebral arteries (SDCVA) is considered a rare cause of stroke, particularly in countries with multiethnic population. The objective was to evaluate the clinical and neuroimaging features of patients with SDCVA from a multiethnic population. Sixty-six patients diagnosed with SDCVA were studied at two tertiary hospitals at São Paulo. An initial questionnaire was completed and patients were followed prospectively. Among the patients studied, 82% were caucasian, 53% were male and the average age was 41.7 years old. The most frequent cardiovascular risk factors found were systemic hypertension and tobacco use. Other aspects evaluated were history of previous migraine, initial treatment and prognosis. In conclusion, although the population studied was multhiethnic, there was a marked predominance of caucasians. The analysis of clinical and neuroimaging data from patients with SDCVA allows a better understanding of the disease, leading to an earlier diagnosis and more appropriate treatment.
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    Swallowing disorders after ischemic stroke
    (Academia Brasileira de Neurologia - ABNEURO, 2011-10-01) Remesso, Gabriela Camargo [UNIFESP]; Fukujima, Marcia Maiumi [UNIFESP]; Chiappetta, Ana Lúcia de Magalhães Leal [UNIFESP]; Oda, Adriana Leico [UNIFESP]; Aguiar, Alexandre Santos; Oliveira, Acary Souza Bulle [UNIFESP]; Prado, Gilmar Fernandes do [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To investigate occurrences of swallowing disorders after ischemic stroke. METHOD: This was a retrospective study on 596 medical files. The inclusion criterion was that the patients needed to have been hospitalized with a diagnosis of ischemic stroke; the exclusion criteria were the presence of associated cardiac problems and hospital stay already more than 14 days. RESULTS: 50.5% were men and 49.5% women; mean age 65.3 years (SD=±11.7) (p<0.001). Among the risk factors, 79.4% had hypertension, 36.7% had diabetes (p<0.001) and 42.7% were smokers. 13.3% of the patients died. Swallowing disorders occurred in 19.6%, among whom 91.5% had mild difficulty and 8.5% had severe difficulty. 87.1% had spontaneous recovery after a mean of 2.4 months. A lesion in the brainstem region occurred in 6.8% (p<0.001). CONCLUSION: Swallowing disorders occurred in almost 20% of the population and most of the difficulty in swallowing found was mild. The predictors for swallowing disorders were older age, diabetes mellitus and lesions in the brainstem region.
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    Verbal language spontaneous recovery after ischemic stroke
    (Academia Brasileira de Neurologia - ABNEURO, 2009-09-01) Remesso, Gabriela Camargo [UNIFESP]; Chiappetta, Ana Lúcia de Magalhães Leal [UNIFESP]; Aguiar, Alexandre Santos [UNIFESP]; Fukujima, Marcia Maiumi [UNIFESP]; Prado, Gilmar Fernandes do [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To analyze the spontaneous recovery of the verbal language on patients who have had an ischemic stroke. METHOD: Retrospective analysis of 513 medical records. We characterize referring aspects for data identification, language deficit, spontaneous recovery and speech therapy. RESULTS: The average age was 62.2 years old (SD= ±12.3), the average time of academic experience was 4.5 years (SD=±3.9), 245 (47.7%) patients presented language disturbance, 166 (54.0%) presented spontaneous recovery, from which 145 (47.2%) had expression deficit (p=0.001); 12 (3.9%) had comprehension deficit and 9 (2.9%) had both expression and comprehension deficit. Speech therapy was carried with 15 patients (4.8%) (p=0.001). CONCLUSION: The verbal language spontaneous recovery occurred in most of the patients being taken care of at the stroke out clinic, and expression disturbance was the most identified alteration. As expected, the left hemisphere was associated with the deficit and smoking and pregressive stroke were the language alteration primary associated factors.