右半球と左半球の脳卒中の認識の違い
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
まとめ
左半球の脳卒中は,右半球の脳卒中よりも,病院の患者でより一般的です. 右側脳卒中の症状を認識することは,タイムリーで効果的な脳卒中の管理に不可欠です.
科学分野:
- 神経学 神経学とは
- 卒中医学は,脳卒中を治療する医学です.
- エピデミオロジー エピデミオロジー
背景:
- 脳血管イベントの症状は,損傷半球によって異なるため,認識と管理に影響を与えます.
- 患者集団における左半球と右半球の脳卒中の不平等な分布は十分に確立されていません.
研究 の 目的:
- 入院患者で左半球と右半球の脳卒中が不均等に分布しているかどうかを判断する.
- 半球脳卒中横行に関連した要因を特定するために.
主な方法:
- ドイツの大規模な病院ベースの脳卒中登録簿の分析.
- 左半球のイベントを患った患者11,328人,右半球の病変を患った患者8,769人を含む.
主要な成果:
- 左半球の脳卒中 (56%) は,右半球の病変 (44%) (p<0.0001) よりも有意に頻繁であった.
- 年齢,脳卒中重症度,入院までの時間は,左半球脳卒中と関連しており,潜在的な選択バイアスを示しています.
結論:
- 左と右半球の脳卒中は,入院患者で不均等な分布を示しています.
- 右半球脳卒中の症状を認識する難しさは,特に初期段階では,最適な管理を妨げることができます.
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