|
| CORRELATION
BETWEEN EARLY AND LATE EPILEPTIC FITS DURING AND AFTER STROKE
AND HEART DISEASES |
|
A. Alajbegović, Dž. Kantardžić, E. Suljić, S. Alajbegović,
M. Hrnjica, H. Resić and I. Kulenović |
| Clinic
of Neurology, Institute of Nephrology, Clinic of Endocrinology,
Diabetes and Metabolic Disorders, Clinical Centre University
of Sarajevo, Cantonal Hospital Zenica, Bosnia and Herzegovina
|
Cerebrovascular stroke is the leading cause of
mortality and the main cause of disability in European adults.
According to AHA "profile of apoplectic personality is determined
by: systolic blood presure bigger than 160 mm Hg, diastolic blood
pressure more than 95 mm Hg, family history of cardiovascular
diseases, hypercholesterolemia, smoking, alcohol drinking and
diabetes mellitus". The aim of this work is to make correlation
between early and late epileptic seizures, during and after cerebrovascular
stroke with some cardiological diseases connected with hypertension.
This study is retrospective, including ten-years period (from
01.01.1998 until 31.12.1998) On the Clinic of Neurology Clinical
Centre University of Sarajevo. Total group of the patients with
cerebrovascular stroke consisted of 7001 patients (53,6% with
thrombosis, 17,35% with embolic ethiology, 21,96% with intracerebral
haemorrhage and 1,17% with subarachnoidal haemorrhage), with incidence
of symptomatic epileptic seizures coming up to 3,38%. Cardiologic
diseases relevant for this study had been as follows: absolute
arythmia, subdecompensated heart state, well-treated cardiac decompensation,
pectoral angina, state after myocardial infarction, extrasystolic
heart beats. Results indicates statistically significant difference
in patients with early versus late epileptic seizures, in correlation
with cardiologic diseases: those with early epileptic fits had
been "more cardiologically sick" then those with late seizures;
the first mentioned group suffered from pectorial angina, heart
decompensation, chronic subdecompensated state; statistical ratio
showed 1,1:0,6. Regarding absolute arythmia there has not been
statistically significant difference between two examined groups.
Wide can conclude that patients with cerebrovascular disease and
early epileptic fits had been significantly more cardiologically
sick comparing to patients with stroke and late epileptic fits,
in whom morphological changes of the brain behaved in neurophysiological
sence as epileptogenic focus.
|
