Survey of 1000 Cases of Apoplexia Cerebri

Dalsgaard‐Nielsen, T

doi:10.1111/j.1600-0447.1955.tb06056.x

Cited by 47 publications

(10 citation statements)

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“…Dalgaard-Nielson [4] observed that only 65% of infarcts diagnosed clini cally were confirmed by autopsy. We showed in a recent paper [9] that in 25% of the cases, the clinical diagnosis of an acute neurologi cal deficit was corrected by CT scanning.…”

Section: Discussionmentioning

confidence: 99%

Stroke in a French Prospective Population Study

Giroud¹,

Beuriat²,

Vion³

et al. 1989

Neuroepidemiology

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Since 1985 there has been a Stroke Registry in Dijon to record every stroke occurring in the population of a city of 140,000 inhabitants. The survey has been exhaustive and included the numerous sources of information as well as CT scanning. The annual incidence is 145/100,000 with an annual specific incidence of 170/100,000 in men, 126/100,000 in women. The annual specific incidence shows a female preponderance until 30 years of age, after which the males lead from the age of 30 to 80, when the rates become equal. Sixty-eight percent of strokes produced by infarct, 12% by lacunae, 5% by subarachnoid hemorrhage and 15% by cerebral hemorrhage. Differences exist in this distribution, with the preponderance of young people in subarachnoid hemorrhage, and cerebral hemorrhage is commoner in the 5th decade while infarct increases with age in both sexes. Infarct appears commoner during winter, transient ischemic attacks during summer, while cerebral hemorrhage has a constant incidence during the year. Mortality is high mainly during the 1st month with 12.5% during the 1st week, 21.5% the 1st month and 30% the 1st year. Our results are in the mean similar to white occidental countries, but opposite to those observed in Japan; they emphasize the importance of the lacunar syndrome, and the seasonal variations in different types of stroke.

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Section: Discussionmentioning

confidence: 99%

Stroke in a French Prospective Population Study

Giroud¹,

Beuriat²,

Vion³

et al. 1989

Neuroepidemiology

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“…Before 1970, embolism was seldom diagnosed; criteria for diagnosis usually included at least two of the triad of (J) known cardiac source (recent myocardial infarct or rheumatic mitral stenosis with atrial fibrillation), (2) sudden, maximal at onset neurological deficit, and (3) associated systemic embolism. When cerebral angiography became commonplace, atherosclerotic plaques in the extracranial arteries were identified as a source for intra-arterial emboli.…”

mentioning

confidence: 99%

Cerebral embolism in the Michael Reese Stroke Registry.

Caplan¹,

Hier²,

D’Cruz³

1983

Stroke

227

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“…10 Dada 11 found that patients with admission diastolic readings over 120 mm Hg had a case-fatality rate of 5 3 % , while those whose diastolic pressures were below 90 mm Hg had a case-fatality rate of 2 5 % . Admission blood pressure, however, is an unreliable index of pre-existing high blood pressure.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of In-Hospital Deaths Among Black Stroke Patients

Shafer

Bruun

Richter

1973

Stroke

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Abstract:Epidemiology of In-Hospital Deaths Among Black Stroke Patients• Fatality rates in 527 consecutive stroke patients were compared by nine different criteria: age, sex, each of four risk factors or the absence of all, type of lesion, and initial level of consciousness. In the 527, the only significant increases (P < 0.01) in fatality rate were in older patients compared to younger patients (48% versus 34%), hemorrhages compared to infarctions (85% versus 33%), and patients with depressed sensoriums compared to alert ones (65% versus 19%). When the series was split by age (< 65 years, > 66 years), younger hypertensives had more fatalities than normotensives (39% versus 24%, P < 0.02), while older hypertensives fared better than normotensives (45% fatalities versus 50%, not significant). For infarction alone, younger hypertensives had 21% fatalities, normotensives 16%; of older hypertensives, 39% died compared to 44% of the normotensives. These differences are not significant (P<0.25).In this series, it appears that (1) age, initial sensorium, and type of lesion are good discriminant factors in the prognosis for life after stroke, (2) age-specific analysis may highlight other factors operating only in a certain age group, and (3) hypertension may have relatively benign associations among more elderly patients.

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Survey of 1000 Cases of Apoplexia Cerebri

Cited by 47 publications

References 1 publication

Stroke in a French Prospective Population Study

Stroke in a French Prospective Population Study

Cerebral embolism in the Michael Reese Stroke Registry.

Epidemiology of In-Hospital Deaths Among Black Stroke Patients

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