A Clinical Study of Stroke in Chronic Renal Failure.
- Author:
Kwang Soo KIM
1
;
Sung Pa PARK
;
Jeong Geon LIM
;
Dong Kuck LEE
;
Sang Doe YI
;
Young Choon PARK
;
Seong Bae PARK
;
Hyun Cheol KIM
Author Information
1. Department of Neurology, College of Medicine, Keimyung University, Korea.
- Publication Type:Original Article
- MeSH:
Cause of Death;
Cerebral Hemorrhage;
Cerebral Infarction;
Female;
Glomerulonephritis;
Hematoma, Subdural;
Heparin;
Humans;
Hypercholesterolemia;
Hypertension;
Incidence;
Ischemic Attack, Transient;
Kidney Failure, Chronic*;
Male;
Mortality;
Nephrosclerosis;
Prognosis;
Renal Dialysis;
Risk Factors;
Smoke;
Smoking;
Stroke*;
Subarachnoid Hemorrhage
- From:Journal of the Korean Neurological Association
1993;11(1):20-27
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The clinical characteristics arld prognosis of stroke were observed on 37 patients (25 men and 12 women) with chronic renal failure (CRF), who were admitted to Keimyung University Dongsan Hospital from Jan. 1984 to Aug. 1991. The results were as follows: 1. Their mean age was 50 years and the peak incidence was in the 5th and 6th decades. Male to female ratio was 2.1:1. 2. The stroke was complicated in 23 patients(2.0%) arnong 1179 hemodialized ones, and the mean duration of hemodialysis before attack of stroke was 15.7 months (1 week 46 months). 3. The causative renal diseases of CRF patients were as follows: 29 chronic glomerulonephritis, 6 hypertensive and 2 diabetic nephrosclerosis. 4. The major risk factors of stroke were hypertension, smoking, old age, hypercholesterolemia and it was suggested that heparin administration was also important factor in hemodialysis group. 5. The types of stroke were as follows: 11 intracerebral hemorrhage, 3 subdural hematoma, 2 subarachnoid hemorrhage and 4 cerebral infarction in hemodialysis group, and 6 cerebral infarction. 4 intracerebral hemorrhage, 2 subarachnoid hemorrhage and 1 transient ischemic attack in conservative treatment group. 6. The stroke was the most common cause of death in hemodialysis group. 7. The mortality rate of stroke was 82.6% in hemodialysis group and 7.1% in conservative treatment group.
