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조효근,허경,임성룡,홍도권 인제대학교 1992 仁濟醫學 Vol.13 No.4
약년자 뇌졸중은 중년 이상의 뇌졸중과 비교하여 드물게 일어나지만 동맥 경화증 이외의 다양한 원인을 갖고 있기 때문에 치료 및 재발의 방지를 위하여 그 원인을 찾아야 한다. 이에 본 저자등은 1989∼1991년 사이 본원에 뇌졸중으로 입원한 15∼45세 사이의 환자를 대상으로 약년자 뇌졸중의 위험 인자 및 원인 질환을 분석하였다. Stroken in young adults are relatively uncommon and have more various and diverse possible causes or risk factors than elderly strokes. We evaluated 222 patients aged 15-45 years who were admitted to our hospital during 1989-1991 under diagnose of cerebral infarction, intracerebral hemorrhage, and subarachnoid hemorrhage. These age groups comprised 13.0% of all patients admitted for stroke. Cerebral infarction was diagnosed in 47 patients who had atherosclerosis (hypertension, diabetes mellitus, hyperlipidemia etc.), heart disease (valvular heart disease, atrial fibrillation, cardiomyopathy, endocarditis), meningitis, Moyamoya disease, leukemia, alcohol, migraine, Cushing's syndrome, Takayasu arteritis, polycythemia etc. as their underlying diseases. Intracerebral hemorrhage was diagnosed in 85 patients who had hypertension, ruptured arteriovenous malformation, ruptured aneurysm, Moyamoya disease, leukemia, tumor, pregnancy etc. as their underlying diseases. Subarachnoid hemorrhage was diagnosed in 90 patients ; the causes were ruptured aneurysm, ruptured arteriovenous malformation, and Moyamoya disease. From the above results, we confirmed young adult strokes were related to various underlying diseases and extensive studies were needed for diagnosis of causative diseases.
조효근,김응규,이재관 朝鮮大學校 附設 醫學硏究所 1991 The Medical Journal of Chosun University Vol.15 No.1
The sixty-nine patients of cerebrovascular disease admitted within two days of disease onset were studied by the method of somatosensory evoked potential from November 1987 to Februarv 1989 at the Department of Neurology, Inje University, College of Medicine. The follwing results were obtained. 1. Fifteen cases in 26 patients of cerebral infarction showed abnormal SEP and 11 cases normal, and 6 cases in 18 patients of intracerebral hemorrhage showed abnormal SEP and 12 cases normal, and 4 cases in 9 patients of subarachnoid hemorrhage showed abnormal SEP and 5 cases normal, and all of the transient ischemic attack showed normal SEP. 2. In the cerebral infarction and intracerebral hemorrhage, correlation between graded SEP and mental status of patients were significant. But there was no significance in the subarachnoid hemorrhage. 3. The patients with sensory change showed more numbers of abnormal SEP than the patients wit normal sense and these were significant. 4. The grade of motor weakness correlated significantly with that of abnormal SEP. 5. in cases of cortical lesion, there was the tendency of decreased amplitude of N1-P2 than the chanees of absolute Nl latency or CN2-N1 interpeak latency, In cases of subcortical lesion, there was thtendency of changes of absolute Nl, or P2 latency or CN2-N1 interpeak latency than the changes (amplitude of N1 P2). 6. The graded SEP correlated significantly with the final outcome of the patients of cerebral infarctic and intracereboal hemorrhage. But there was no correlation between the graded SEP and final outcome in cases of subarchno hemorrhage "The results showed that the SEP was valuable method for early detection of disease ar suspecting the prognosis in cerebrovascular disease.