Study of Silent Infarct in First-ever Cerebral Infarction Patients Treated in an Oriental Medical Hospital

한방병원에 내원한 생애 첫 뇌경색 발생 환자에 대한 무증상 뇌격색의 조사

  • Jeong, Seung-Min (Department of Internal Medicine, Kyungwon In-cheon Oriental Medical Hospital) ;
  • Go, Ho-Yeon (Department of Internal Medicine, College of Oriental medicine, Kyungwon University) ;
  • Jung, Ki-Yong (Department of Internal Medicine, Kyungwon In-cheon Oriental Medical Hospital) ;
  • Hsia, Yu-Chun (Department of Internal Medicine, Kyungwon In-cheon Oriental Medical Hospital) ;
  • Lee, Ju-Ah (Department of Internal Medicine, College of Oriental medicine, Semyung University) ;
  • Jung, Hee (Department of Internal Medicine, College of Oriental medicine, Kyungwon University) ;
  • Choi, You-Kyung (Department of Internal Medicine, Kyungwon In-cheon Oriental Medical Hospital) ;
  • Kim, Dong-Woo (Department of Internal Medicine, College of Oriental medicine, Kyungwon University) ;
  • Han, Chang-Ho (Department of Internal Medicine, College of Oriental medicine, Dongguk University) ;
  • Ko, Seung-Gyu (Department of Preventive Medicine, College of Oriental Medicine, Kyunghee University) ;
  • Cho, Ki-Ho (Department of Internal Medicine, College of Oriental medicine, Kyunghee University) ;
  • Bang, Ok-Sun (Department of Medical Research, Korea Institute of Oriental Medicine) ;
  • Park, Jong-Hyung (Department of Internal Medicine, Kyungwon In-cheon Oriental Medical Hospital)
  • 정승민 (경원대 인천한방병원 내과) ;
  • 고호연 (경원대학교 한의과대학 내과학교실) ;
  • 정기용 (경원대 인천한방병원 내과) ;
  • 하유군 (경원대 인천한방병원 내과) ;
  • 이주아 (세명대학교 한의과대학 내과학교실) ;
  • 정희 (경원대학교 한의과대학 내과학교실) ;
  • 최유경 (경원대 인천한방병원 내과) ;
  • 김동우 (경원대학교 한의과대학 내과학교실) ;
  • 한창호 (동국대학교 한의과대학 내과학교실) ;
  • 고성규 (경희대학교 한의과대학 예방의학교실) ;
  • 조기호 (경희대학교 한의과대학 내과학교실) ;
  • 방옥선 (한국한의학연구원) ;
  • 박종형 (경원대 인천한방병원 내과)
  • Published : 2008.03.31

Abstract

Objective : Silent infarct is more common in healthy elderly people and seems associated with risk of future stroke. However, the prevalence and risk factors of silent infarct are unclear. We investigated the prevalence and risk factors of silent infarct. Methods : 56 first-ever cerebral infarct patients were enrolled in this study. CT images were made of all 56 patients. We divided them into two groups according to the presence of silent infarcts and comparedage, sex, education period, WHR, hypertension, diabetes mellitus, hyperlipidemia, smoking, numbness and weakness of thumb and index finger, neck stiffness, facial spasm, and blepherospasm. Result : Silent infarcts were found in 24 patients(43%). Most infarcts(48%) were located in basal ganglia. Age, sex, education period, WHR, numbness and weakness of thumb and index finger, neck stiffness, facial spasm, and blepherospasm were similar between the two groups. Diabetes mellitus, hyperlipidemia, and smoking were higher in the silent infarct group. Hypertension was higher in the non-silent infarct group. Conclusion : The prevalence of silent infarct in first-ever cerebral infarction patients was 43% and diabetes mellitus, hyperlipidemia, and smoking were higher in silent infarct patients.

Keywords