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Diferencia en el reconocimiento de los golpes hemisféricos derecho e izquierdo
Christian Foerch1, Bjoern Misselwitz, Matthias Sitzer
1Department of Neurology, Johann Wolfgang Goethe University, Schleusenweg 2-16, 60528 Frankfurt am Main, Germany. foerch@em.uni-frankfurt.de
Lancet (London, England)
|August 2, 2005
Resumen
Los accidentes cerebrovasculares del hemisferio izquierdo son más comunes en pacientes hospitalizados que los accidentes cerebrovasculares del lado derecho. Reconocer los síntomas del accidente cerebrovascular del lado derecho es crucial para el manejo oportuno y efectivo del accidente cerebrovascular.
Área de la Ciencia:
- Neurología Neurología.
- Medicina para el ictus Medicina para el ictus
- Epidemiología La epidemiología.
Sus antecedentes:
- Los síntomas de eventos cerebrovasculares varían según el hemisferio de la lesión, lo que afecta el reconocimiento y el manejo.
- La distribución desigual de los accidentes cerebrovasculares hemisféricos izquierdo y derecho en las poblaciones de pacientes no está bien establecida.
Objetivo del estudio:
- Para determinar si los accidentes cerebrovasculares hemisféricos izquierdo y derecho están distribuidos de manera desigual en pacientes hospitalizados.
- Para identificar los factores asociados con la lateralidad del accidente cerebrovascular hemisférico.
Principales métodos:
- Análisis de un gran registro hospitalario de accidentes cerebrovasculares en Alemania.
- Inclusión de 11.328 pacientes con eventos hemisféricos izquierdos y 8.769 con lesiones del lado derecho.
Principales resultados:
- Los accidentes cerebrovasculares del hemisferio izquierdo (56%) fueron significativamente más frecuentes que las lesiones del lado derecho (44%) (p<0.0001).
- La edad, la gravedad del accidente cerebrovascular y el tiempo de admisión se asociaron con el accidente cerebrovascular del hemisferio izquierdo, lo que indica un potencial sesgo de selección.
Conclusiones:
- Los accidentes cerebrovasculares hemisféricos izquierdo y derecho muestran una distribución desigual en los pacientes hospitalizados.
- Los desafíos en el reconocimiento de los síntomas del accidente cerebrovascular hemisférico derecho pueden impedir un manejo óptimo, especialmente en las primeras etapas.
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