Comparison among patient with lacunar cerebral infarct and deep primary intracerebral hemorrhages

Abstract

It was carried out a descriptive and prospective study of the hypertensive patients with diagnostic of lacunar cerebral infarct or deep primary intracerebral hemorrhages in acute phase who were assisted in the intermediate care Unit and in the neurology Service of the Provincial University Hospital Arnaldo Milián Castro during the period among July 1 2000 to June 30 2001. We intended to compare the factors of cerebrovascular risk, the localization of the lesions and the prognosis among hypertensive patients with lacunar cerebral infarct and deep primary intracerebral hemorrhages, and the relationship of these factors in the functional state at the time of remission and in the mortality. For the statistical analysis it was created a database of the results obtained in the pattern of collection of data and later it was used Windows SPSS program. We find that the lacunar cerebral infarct and deep primary intracerebral hemorrhages have the same localization in deep areas of the brain, the affectation of same arteries, and also that the main factor of risk is the arterial hypertension. Besides the fundamental difference (isquemia versus hemorrhage) there are other differences in the behaviour of the factors of risk, in the specific localization of the lesion and in the prognosis at the time of remission. These findings made us consider that the differences in certain factors of risk and in specific localization of the lesions can be the key to explain the outcome of the ischemic and hemorrhagic lesion of the small cerebral arteries.

Keywords

• hipertension
• infarto cerebral
• hemorragia cerebral