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MEDISAN

On-line version ISSN 1029-3019

Abstract

RUIZ MARINO, Raciel Alejandro; CAMPOS MUNOZ, Martha; RODRIGUEZ CAMPOS, Daniela de la Caridad  and  CHACON REYES, Osmel Daniel. Clinical and tomographic characteristics of patients with ischemic cerebrovascular disease. MEDISAN [online]. 2021, vol.25, n.3, pp.624-636.  Epub June 04, 2021. ISSN 1029-3019.

Introduction:

The clinical method by itself is not definitive to diagnose a cerebrovascular disease, reason why the use of imaging diagnostic means, as the computerized axial tomography is important, as it allows to investigate the morphological and functional aspects of the brain.

Objective:

To describe the clinical and tomographic characteristics of patients with complete stroke.

Methods:

A descriptive and cross-sectional study of 269 patients with complete stroke, assisted in Saturnino Lora Torres Teaching Clinical Surgical Provincial Hospital was carried out in Santiago de Cuba, from January to December, 2019.

Results:

There was a prevalence of the male sex (54.6 %), 70-79 age group, motor disorders (76.5 %), alteration of the conscience (51.3 %) and language disorder (50.5 %). In 38 patients the results of the tomography were negative before the 24 hours of clinical course and 64.0 % were better with aftereffects of the disease.

Conclusions:

Tomography before the 24 hours demonstrates a low positivity and findings have a favorable clinical course as time goes by, although it is possible to recognize several early signs of acute ictus in less than 4-6 hours.

Keywords : cerebrovascular disease; complete stroke; brain ischemia; imaging diagnosis; computerized axial tomography.

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