2021, Number 3
Characterization of patients with intraparenchymal hemorrhagic cerebrovascular disease treated at the National Institute of Neurology and Neurosurgery
Language: Spanish
References: 20
Page: 1-8
PDF size: 185.24 Kb.
ABSTRACT
Introduction: intracerebral hemorrhage represents 10 to 15% of all strokes, and depending on its location, it can be intraparenchymal or intraventricular.Objective: to characterize patients diagnosed with intraparenchymal hemorrhagic cerebrovascular disease at the National Institute of Neurology and Neurosurgery.
Method: an observational, descriptive and cross-sectional study was carried out in patients diagnosed with intraparenchymal hemorrhagic cerebrovascular disease at the National Institute of Neurology and Neurosurgery of Cuba between January 2017 and December 2019. The variables age, sex, skin color, toxic habits, personal pathological history, status at admission, extension to ventricle, location, affected cerebral hemisphere and associated cerebral edema. Descriptive statistics were used.
Results: patients in adulthood (53,5 %), male (64,2 %) and white skin color (85,7 %) predominated; as well as smoking (28,5 %). A higher frequency was observed in patients with hypertension (50 %) and in a conscious state upon admission (82,1 %). 60,7 % did not have ventricular extension. Thalamic intraparenchymal hemorrhages were the most frequent (21,4 %). The most affected cerebral hemisphere was the right (60,7 %). A greater number of patients with associated cerebral edema was observed (85,7 %).
Conclusions: hemorrhage occurred more frequently in adult, male and white-skinned patients. The personal history of arterial hypertension was found in most of the cases; showing a predominance of presentations in right structures and associated cerebral edema.
REFERENCES
Sieira PI, Esparragosa I, Valentí R, Martínez-Vila E. Enfermedades cerebrovasculares. Hemorragia cerebral. Medicine-Programa de Formación Médica Continuada Acreditado [Internet]. 2019 [citado 23/11/2020]; 12(70):4075-4084. Disponible en: https://www.sciencedirect.com/science/article/pii/S0304541219300010
López Arguelles J, Rodríguez Carbajal AB, Sosa Águila LM, Rojas Fuentes J. Factores relacionados con la mortalidad y las discapacidades en la hemorragia cerebral parenquimatosa espontánea. Rev Cubana Neurol Neurocir [Internet]. 2015 [citado 23/11/2020]; 5(1):19-24. Disponible en: http://www.revneuro.sld.cu/index.php/neu/article/download/153/271
Hernández-Ortiz OH, Torres-López M, Sará-Ochoa JE. Manejo intensivo vs. conservador de la presión arterial en pacientes con hemorragia intracerebral aguda: revisión sistemática y metaanálisis. Acta Colom. Cuidado Intensivo [Internet]. 2018 [citado 23/11/2020]; 18(1):1-9. Disponible en: https://www.elsevier.es/es-revista-acta-colombiana-cuidado-intensivo-101-articulo-manejo-intensivo-vs-conservador-presion-S012272621730071X#
Méndez Fleitas L, Carmona Denis Y, Moreno Peña LE, Escalona Robaina CR, Ortega Peñate JA. Caracterización clínica de la hemorragia intracerebral en pacientes ingresados en Hospital Faustino Pérez 2012-2013. Rev Med Electrón [Internet]. 2019 [citado 23/11/2020]; 41(1):90-103. Disponible en: http://scielo.sld.cu/scielo.php?pid=S168418242019000100090&script=sci_arttext&tlng=en
Suárez Quesada A, Álvarez Aliaga A, López Espinosa E, Barzaga Morell S, Santisteban García AL. Pronóstico de muerte en pacientes con hemorragia intracerebral supratentorial espontánea. Rev Finlay [Internet]. 2016 [citado 23/11/2020]; 6(1):12-14. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2221-24342016000100005
Kumal E, Ece Bayam F, Koken B, Emre Erdogan C. Clinical and neuroimaging determinants of minimally conscious and persisten vegetative states after acute stroke. J Neurocrit Care [Internet]. 2019 [citado 23/11/2020]; 12(1):37-45. Disponible en: https://www.e-jnc.org/m/journal/view.php?doi=10.18700/jnc.190080
Sosa Remon A, Jerez Alvarez AE, Garcia Arias DM, Cuba Naranjo AJ, Galiano Guerra G. Factores neurológicos asociados a la mortalidad en pacientes con accidente cerebrovascular y ventilación mecánica artificial. Rev Cuba Anestesiol Reanim [Internet]. 2020 [citado 23/11/2020]; 20(2):e688. Disponible en: http://www.revanestesia.sld.cu/index.php/anestRean /article/viewFile/688/983
Mieles DB, Carlier FB, Alvarado GH, Mata FS. Hemorragia Talámica Bilateral. Bilateral Thalamic Hemorrhage. Rev Ecuat Neurol [Internet]. 2017 [citado 23/11/2020]; 26(1)¬:11-12. Disponible en: http://revecuatneurol.com/wpcontent/uploads/2017/09/Hemorragia-Talamica-Bilateral.-BilateralThalamic-Hemorrhage.pdf
Araujo Montes RE. Frecuencia de accidente cerebrovascular hemorrágico por tomografía computarizada multidetector en pacientes con stroke cerebral en el hospital Sergio E. Bernales 2018. [Tesis de Licenciatura]. Lima: Universidad Médica de Perú. [Internet] 2018 [citado 23/11/2020]. Disponible en: https://repositorio.upla.edu.pe/bitstream/handle/20.500.12848/1114/TESIS%20FINAL.pdf?sequence=1