2009, Number 3
Cerebral infarcts related to pulmonary emphysema. A review of cases of autopsy in a 16-yearperiod review
Pérez EJ, Reséndiz MM, Aguirre QD, Chávez ML, Olvera RJE
Language: Spanish
References: 5
Page: 210-212
PDF size: 406.25 Kb.
ABSTRACT
Background: Cerebrovascular diseases (included cerebral infarcts) are an important cause of hospital admissions and disability. They are also a common finding in autopsy studies. The main causes of cerebral infarcts are thrombosis and embolic occlusion. In an autopsy series of the Mexico City General Hospital published in 1989, an important number of cerebral infarcts were found associated with chronic pulmonary diseases, especially emphysema.Objective: To determine cerebral infarcts incidence and its relation with emphysema.
Material and methods: 11,673 new autopsy cases were reviewed in a period of 16 years (1989-2005).
Results: Emphysema was associated to 10% of cerebral infarcts. Middle cerebral artery was the most affected region.
Conclusions: Chronic obstructive pulmonary disease, specially emphysema, is a risk factor to cerebral infarcts. The relation between emphysema and cerebral infarcts can be explained by hyperglobulia, increased resistance in the pulmonary circulation, and altered cardiac rhythm.
REFERENCES