Subjects are 540 patients, including 320 males and 220 females, mean age 62.1±11.8, ranged from 11 to 84 years old. Rate of lacunar infarction is 29%. Hypertension and diabetes are 2 major risk factors as well as are causes of lacunar infarction. Idiopathic cerebral infarction accounts for high rate (46%). Progress and prognosis of lacunar infarction is better than other ischemic strokes.
Brain Ischemia ; Cerebrovascular Accident

From January 2001 to June 2002, 96 patients who were suffering from subarachnoid hemorrhage were admitted to the stroke service of the neurological Department of B¹ch Mai Hospital. Diagnosis based on the clinical examination, CT Scan, lumbar puncture (if necessary) transcranial Doppler sonography (TCD), and angiography (DSA, and MRA). There were 35 females and 61 males. The age ranged from 12 to 84. The averaged age 46-65 years: 47 (49%). The clinical pictures included headache 98%, vomiting and/ or nausea 89%, consciousness disorders 55%, neck stiffness 94%, kernigsign 89%, hemiplegia 35%, cranial third nerve palsy 9%, cerebral aneurysm 88%, and arteriovenous malformation (AVM) 12%. Evaluation and complications included good recovery 14%, moderate disability 53%, severed disability 25%, death 8%, no cases with persistent vegetative states, recurrent bleeding 27%, cerebral vasospasm 29%, hydrocephalus 26%, Hyponatremia 17%, and seizure 5%.
Subarachnoid Hemorrhage ; Diagnosis ; Disease Management

In Bach Mai Hospital from May 1998 to June 2002, 23 children aged 10-15 (15 girls and 8 boys) with malformation of brain vessel were diagnosed definitely. Most of under 11-year-old children have swelling vessel, 30.4% of above 11-year-old children have AVM malformation - 52.1%. The main manifestations of brain vessel malformation are hemorrhage of brain lobe 65.2%, subarachroid hemorrhage 39.1%, brain ischemia 30.4%, epilepxy or epileptic conditions 21.7%, head pain of migraine type 17.4%. Unilateral palsy of III nerve is specific sign for diagnosis of swelling of prosterior communicating artery with a rate of 8.7%. Dysphasia is temporary, while the visual dysfunction is more persistent
Child ; Pupil Disorders ; Nervous System Malformations

At the Department of Neurology, Bach Mai Hospital, 11 cases of cerebral infarction were studied in the first 6 months of the year 2002. All 11 patients underwent CT scanning, blood examination, EEG, X-ray examination of heart and lung. Results showed that cerebral infarction can be diagnosed definitely, especially it can be differentiated with cerebral haemorrhage, etc … to develop a possibility of intensive and effective management of cerebral infarction. CT radiography permits an efficacy monitoring of the treatment processus
Cerebral Infarction ; Brain Infarction ; Brain Diseases

The study carried on 30 patients diagnosed reversible ischemic neurologic deficit (RIND) at Bach Mai Hospital Nervous deparment from 2000 January. Result: The indicende of male was higher than female (67% vs 33%). 70% were 45 to 59 years of age. Two major reasons were internal carotid artery stenosis 60%, heart diseases e.g mitral stenosis and insufficiency, artrial fibrillation 27%, the cause of unknown 13%. The clinical symptoms of RIND were: hemiplegia 100%, hemisensory loss, dysphasia or aphasia. RIND can make cerebral infarction, so need to detect early and treat timely to advoid stroke and cerebral infarction
Brain Ischemia ; Neurologic Manifestations ; Ischemia

23 patients with diagnosed malformation of cerebral artery treated at Bach Mai Hospital from May 2000 to April 2002, were admitted because of complications of subarachnoid, or epileptic state, or of localized signs of nerves such as unilateral paralysis of III nerve. All patients were undergone basic examination such as angiography, uremia, glucemia, electroencelograme. 16/23 patients undergone CT scan, 19/23 encephalomyelo puncture, 100% encephaloarterigraphy and 16/23 operation. Internal therapy in acute stage is very important, contibuting to the results of an operation
Cerebral Arteries ; Arteriovenous Malformations ; Patients ; diagnosis ; Therapeutics

37 patients (20 male, 17 female) treated in Bach Mai Hospital from May 2000 to March 2002 with definite diagnosis of ventricle hemorrhage. All they were undergone a CT scanning for detecting the blood in brain ventricle by various level and various images. In 19/37 patients by puncture encephalomyelo liquid was examined, in 1 patient there is an artery - venous communicans determined by arrterioangiography. Initial symptoms such as headache, nausea/vomit, conciousness disturbance, hemi-paralytis, seizure, fever, urine retention, uncontrolled urination, eyelid collapsure, dizziness and perspiration. An early diagnosis and proper treatment can decrease the mortality and the disability
Hemorrhage ; Patients ; Cerebral Ventricles ; diagnosis

60 subjects with brain lacunar infarction and 60 with other brain (no lacunar) infarction aged 20-67 were investigated in Bach Mai Hospital from Jan 2001 to Jun 2002. The proportion of brain lacunar infarction vs other brain infarction was 38% in the same duration. 5 main syndromes of lacunar infarction were 98%, other syndromes 2%. There is no difference in age and gender of both groups. Risk of complications of brain lacunar infarction raised by 8,9 times in comparing with high blood pressure, 6,5 times with smoking, 2,3 times with diabetes
Cerebral Infarction ; Brain Infarction ; Brain ; diagnosis ; risk factors

A study on 60 patients with the cerebral lacunar infarction, ages of 20-85 and 60 patients with cerebral infarction (control), ages of 20 -87 has shown that the syndromes of cerebral lacunar infarction comprised hemiplegia type of merely moving, speaking disorder hemiplegia type of combination of sense and moving, merely sense accident and other lacunar syndromes. The risk factors of diseases were hypertension, diabetes and smoking.
Cerebral Infarction ; Brain Infarction ; diagnosis

Hemorrhage occurs within 48 hours after accident onset. In fact, there was not any case in which the hemorrhage occurred before 6 hours. 4 week serial and continuous CT scanner imaging showed that hemorrhagic cerebral infarction occurred within 24 hours in 10%, within 7 days in 39% and within 14 days in 54%. In this study, hemorrhagic cerebral infarction occurred within 1 to 3 days in 40%, 4 to 10 days in 50% and 11 to 30 days in 3%. These results are limited because the serial and continuous CT scanner imaging is less to be performed. All of 30 patients have bleeding from middle cerebral artery. CT scanner imaging showed that hemorrhagic infarction occurred in 24 out of 30 patients (80%) and parenchymal hematoma occurred in 6 patients (20%)
Ischemia ; Hemorrhage ; diagnosis ; Cerebrovascular Accident