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Journal of Korean Neurosurgical Society 1985;14(1): 83-92.
Clinical Study on the Obstructive Cerebrovascular Disease.
Chang Jin Kim, Dae Hee Han, Bo Sung Sim
Department of Neurosurgery, College of Medicine, Seoul National University, Seoul, Korea.
The authors analyzed 240 patients with obstructive cerebrovascular disease including 11 patients with moyamoya disease, who had been admitted to Seoul National University Hospital during the recent two years. The results were as following ; 1) The male to female ratio was 1.4:1 and majority of patients was in fifth decade or over. 2) The most common neurological finding was hemiparesis and 58.8% of the patients were alert. 3) 32.8% of the ischemic stroke patients excluding moyamoya disease had past history of previous ischemic attack. 4) The commonly associated diseases were hypertension and cardiac disease. 5) Serum total cholesterol and triglyceride levels were significantly increased and HDL-cholesterol level was decreased. 6) Excluding moyamoya disease, middle cerebral artery territory and basal ganglia including internal capsule are prevalent site of lesion by computed tomographic scan. 7) Computed tomographic finding of moyamoya disease was mostly ischemic one, 63.6% were atrophic and 27.3% were infarcted.
Key Words: Previous ischemic attack; Hypertension; Cardiac disease; Middle cerebral artery territory; Basal ganglia; Internal capsule
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