2019, Number 2
Size of the atherothrombotic cerebral infarction from carotid territory according to its risk factors
Language: Spanish
References: 13
Page: 142-151
PDF size: 218.34 Kb.
ABSTRACT
Introduction: Most of atherothrombotic cerebral infarctions are due to extracranial atherosclerosis and the risk factors that condition it.Objective: To characterize patients with atherothrombotic stroke of the anterior territory according to size, sex and atherothrombotic risk factors.
Method: A cross-sectional study was performed on 63 patients attended at the "Dr. Carlos J. Finlay" hospital with a diagnosis of recent atherothrombotic cerebral infarction of the carotid territory, who underwent simple skull tomography, between 2011 and 2013.
Results: Large infarcts predominated (57.1%) in men (80.6%) and in general, male sex was also the most affected (68.3%). Most of patients who had both moderate infarcts (59.3%) and large infarcts (58.3%), reported 3 to 4 atherothrombotic risk factors (58.7%). Prevalence of arterial hypertension (82.5%), with greater coincidence with medium infarcts (88.9%), than with large infarcts (77.8%).
Conclusions: The recent atherothrombotic stroke of the carotid irrigation area was characterized in this series, due to large infarcts and greater involvement of elderly, hypertensive males. The existence of 3 to 4 risk factors in each patient prevails both in those with medium cerebral infarction and large ones.
REFERENCES
León Blasco AM, Galindo Portuondo ES. Ictus por infarto cerebral aterotrombótico en el Hospital Universitario "Manuel Ascunce Domenech" de Camagüey durante el año 2010. Rev Cubana Neurol Neurocir. 2013;3(2):139-44. Acceso: 23/06/2015. Disponible en: http://www.revneuro.sld.cu/index.php/neu/article/view/82/pdf
Castro Martínez MG, Liceaga Craviotto G, Alexanderson Rosas G, Bolado García V, d'Hyver Wiechers C, Durán Salgado M, et al. Consenso de expertos en prevención, diagnóstico y tratamiento de la obesidad en el adulto mayor y en casos especiales. Med Int Méx. 2016;32(1):58-88. Acceso 27/06/2016. Disponible en: http://www.medigraphic.com/pdfs/medintmex/mim-2016/mim161j.pdf
Tribín Rivero K, Pérez Berlanga AM, Laguna Salvia L, Escobar Balboa MA, Manso López AM, Abraham Marcel E. Niveles de lipoproteínas en pacientes con enfermedad cerebrovascular oclusiva aterotrombótica. Rev Mex Patol Clin. 2011;58(3):156-68. Acceso: 27/05/2012. Disponible en: http://www.medigraphic.com/pdfs/patol/pt-2011/pt113e.pdf
Moreno VP, García Raso A, García Bueno MJ, Sánchez Sánchez C, Meseguer E, Mata R, et al. Factores de riesgo vascular en pacientes con ictus isquémico. Distribución según edad, sexo y subtipo de ictus. Rev Neurol. 2008;46(10):593-98. Acceso: 27/05/2012. Disponible en: http://www.sld.cu/galerias/pdf/sitios/rehabilitacion-doc/ictus_factores_de_riesgo.pdf