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[Diagnostic difficulties in hemiplegic stroke--a neurological or neurosurgical case?]
A Constantinescu1, O Popescu, G Săndulescu
1Facultatea de Medicină, Clinica de Neurologie, Universitatea de Medicină şi Famacie Gr. T. Popa, Iaşi.
Parting from the personal experiences and the actual information existing in the bibliography, the authors present, briefly, a general view on the complexity of the cerebral vascular pathology, insisting on the hemiplegic ictus. The aetiopathology of this syndrome is diversified so that it is difficult to make a strong correlation between age, way of beginning and clinical aspect. By way of example, the authors present 4 personal observations of hemiplegic ictus at different ages. In order to take a therapeutic decision, either neurologic or neurosurgical, the diagnosis in emergency can be determined correctly only with CT and RMN.
Parting from the personal experiences and the actual information existing in the bibliography, the authors present, briefly, a general view on the complexity of the cerebral vascular pathology, insisting on the hemiplegic ictus. The aetiopathology of this syndrome is diversified so that it is difficult to make a strong correlation between age, way of beginning and clinical aspect. By way of example, the authors present 4 personal observations of hemiplegic ictus at different ages. In order to take a therapeutic decision, either neurologic or neurosurgical, the diagnosis in emergency can be determined correctly only with CT and RMN.