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  • P-ISSN 1010-0695
  • E-ISSN 2288-3339

한방병원에 내원한 생애 첫 뇌경색 발생 환자에 대한 무증상 뇌경색의 조사

Study of Silent Infarct in First-ever Cerebral Infarction Patients Treated in an Oriental Medical Hospital.

대한한의학회지 / Journal of Korean Medicine, (P)1010-0695; (E)2288-3339
2008, v.29 no.1, pp.192-199
정승민 (경원대학교)
고호연 (세명대학교)
정기용 (경원대학교)
하유군 (경원대학교)
이주아 (세명대학교)
정희 (경원대학교)
최유경 (경원대학교)
김동우 (경원대학교)
한창호 (동국대학교)
고성규 (경희대학교)
조기호 (경희대학교)
방옥선 (한국한의학연구원)
박종형 (경원대학교)
전찬용 (경원대학교)
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Abstract

Objective:Silent infarct is more common in healthy elderly people and seems associated with risk of future stroke. However, the prevalence and risk factors of silent infarct are unclear. We investigated the prevalence and risk factors of silent infarct. Methods:56 first-ever cerebral infarct patients were enrolled in this study. CT images were made of all 56 patients. We divided them into two groups according to the presence of silent infarcts and comparedage, sex, education period, WHR, hypertension, diabetes mellitus, hyperlipidemia, smoking, numbness and weakness of thumb and index finger, neck stiffness, facial spasm, and blepherospasm. Result:Silent infarcts were found in 24 patients(43%). Most infarcts(48%) were located in basal ganglia. Age, sex, education period, WHR, numbness and weakness of thumb and index finger, neck stiffness, facial spasm, and blepherospasm were similar between the two groups. Diabetes mellitus, hyperlipidemia, and smoking were higher in the silent infarct group. Hypertension was higher in the non-silent infarct group. Conclusion:The prevalence of silent infarct in first-ever cerebral infarction patients was 43% and diabetes mellitus, hyperlipidemia, and smoking were higher in silent infarct patients.

keywords
Silent infarct, first-ever cerebral infarction


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