Laküner İnmeler: Bir Kurumun Deneyimleri

Amaç: Laküner Iskemik inmeler tüm iskemik inmelerin yaklaşık % 25"ini oluşturmaktadır.Bu çalışmada bu inme türünün kadınlar ve erkeklerde risk faktörleri ve klinik paternleri açısından karşılaştırılması amaçlanmıştır. Materyal ve Metod: Bu gözlemsel çalışma, ilk kez Laküner inmesi olan 50 ardışık hastada 1 Aralık 2010-1 Mart 2013 tarihleri arasında Irak Süleymaniye Genel Eğitim Hastanesi Nöroloji Bölümünde yapılmıştır.Hastaların risk faktörleri, klinik sunumu, ve inme paternleri kaydedilerek erkekler ve kadınlar arasında bir karşılaştırma yapıldı. Bulgular: Erkek ve kadın oranı 1.7"dir, erkekler (% 64) kadınlardan (% 36) sayıca fazladır. Kadınlarda ortalama yaş 61 iken erkeklerin yaş ortalaması 63"tür.Hipertansiyon kadınlarda erkeklere göre daha sık olmasına rağmen, diyabet ve sigara kullanımı erkeklerde daha yaygındır; ancak, 2 cinsiyet arasında hipertansiyon ve diyabet açısından istatistiksel olarak anlamlı bir fark yokken sigara kullanan erkeklerde anlamlı farklılıklar mevcuttur. Saf motor hemiparezi, ataksik hemiparezi, saf duyusal inme ve dizartri-beceriksiz el sendromu erkeklerde daha yaygındır; sadece sensorimotor inme erkeklerde istatistiksel olarak anlamlıdır (P-değeri

Anahtar Kelimeler:

Laküner enfarktüs, inme, lipohiyalinosis, hipertansiyon

Lacunar strokes: a single institutional experience

Abstract: Objective: Lacunar ischemic strokes comprise approximately 25% of all ischemic strokes. We compared the risk factors and clinical pattern of this type of stroke between males and females. Methods: This observational study involved 50 consecutive patients with their first-ever lacunar stroke and was conducted at the department of neurology of Sulaimaniya general teaching hospital, Iraq from December 1, 2010 to March 1, 2013. Patients" risk factors, clinical presentation, and strokes" patterns were noted and a comparison was made between males and females. Results: Males (64%) outnumbered females (36%) with a male to female ration of 1.7. The mean age of males was 63 years while it was 61 years in females. Although hypertension was more common in females than in males, diabetes and smoking were more common in the latter group; however, there were no statistically significant differences between the 2 genders in terms of hypertension (P-value

Keywords:

lacunar infarction; stroke; lipohyalinosis; hypertension,

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