The Factors Influencing the Clinical Course of Acute Cerebral Infarctions: Cortical Versus Lacunar Infarction.
- Author:
Yonug Ho SOHN
1
;
Byung In LEE
;
Kyoon HUH
;
Seung Min KIM
;
Il Nam SUNWOO
;
Jin Soo KIM
;
Ki Whan KIM
;
Won Joo KIM
;
Jin Ho KIM
;
Joon Sik MOON
;
Jae Hyun PARK
;
Young Chul CHOI
;
Woo Kyung KIM
;
Yoon Jung KIM
;
Ji Hyun KIM
;
Seung Han SUK
;
Kyung Hwan KIM
;
Soo Chul PARK
;
Jae Woo JUNG
;
Sung Hee HWANG
;
Young Kwan PARK
;
Byung Chul LEE
;
Kyung HUH
Author Information
- Publication Type:Original Article
- MeSH: Cerebral Infarction*; Hematocrit; Humans; Infarction; Neurologic Manifestations; Stroke; Stroke, Lacunar*
- From:Journal of the Korean Neurological Association 1990;8(2):203-211
- CountryRepublic of Korea
- Language:Korean
- Abstract: We think that the clinical courses of lacurlar infarctions are somewhat different from those of cortical ones, because the ischemic penumbra, a keystone of acute infarct recovery, of the former is rnore limitted than that of the latter. Therefore, we analyzed the selected data, 38 cortical and 33 lacunar infarct patients, from Severance Stroke Registry which were recorded from May, 1989 to April, 1990, to demonstrate and compare the differences of the clinical courses and its influencing factors between the cortical and lacunar infarcts. Our results suggested as follows first, the initial neurologic deficits of cortical infarctions are rnore serious than those of lacunar infarctions, but with the better short-term improvements of tbe former, the short-term motor outcome between the two types of infarcts are not significantly different second, whiIe the short-term improvernent of cortical infarcs is influenced by initial hematocrit level, the short-term motor outcome and the degree of improvement of lacunar infarcts are influenced by the patient's age.