Depressive syndrome is a common complication in cerebral vascular accidents (CVA), which accounts for 70% of the complications. A mild case of the syndrome is marked by grief, sleeping disturbance, weakened mental act...Depressive syndrome is a common complication in cerebral vascular accidents (CVA), which accounts for 70% of the complications. A mild case of the syndrome is marked by grief, sleeping disturbance, weakened mental activities, worry, loss of interest, and irritability. A severe case may have worse symptoms and signs, except the above mentioned ones, such as anxiety, reduced appetite, hallucination, delusion, desperation, etc. The author has adopted acupuncture to treat depressive syndromes after CVA with good therapeutic result as reported in the following.展开更多
BACKGROUND： Previous studies have demonstrated that enlarged perivascular spaces （EPVS） are a result of microvascular disease. To date, there are few reports about the relationship between EPVS and lacunar infarcti...BACKGROUND： Previous studies have demonstrated that enlarged perivascular spaces （EPVS） are a result of microvascular disease. To date, there are few reports about the relationship between EPVS and lacunar infarction. OBJECTIVE： To investigate whether EPVS is associated with lacunar infarction on the basis of cerebral magnetic resonance （MR） examination, clinical symptoms and signs, and past medical history of patients. DESIGN, TIME AND SETTING： Case contrast analysis was performed at the Department of Neurology, Shanghai Ninth People＇s Hospital from January 2007 to January 2008. PARTICIPANTS： Sixty-eight patients with lacunar infarction were admitted to the Department of Neurology of Shanghai Ninth People＇s Hospital, including 37 cases with first-ever infarction, and 31 with infarction recurrence. In addition, 53 healthy people were selected as controls. METHODS： All participants underwent past medical history investigation, nervous system examination, and cranial MR. The subjects were assessed using the JMW rating scale to identify the EPVS grade. MAIN OUTCOME MEASURES： EPVS scores of patients and controls; risk factors for cerebral vascular disease in patients with first-ever or recurrence of lacunar infarction. RESULTS： The EPVS grade from lacunar infarction patients was significantly higher than of the control group （P 〈 0.05）. The EPVS grade in patients with recurring lacunar infarction was significantly higher than in patients with first-ever infarction （P 〈 0.05）. In addition, hypertension incidence in patients with recurring lacunar infarction was significantly higher than in patients with first-ever infarction （P 〈 0.05）. CONCLUSION： Results indicate that EPVS is related to the incidence of lacunar infarction. Earlier screening of EPVS, and the evaluation of EPVS severity, is of great importance to control the risk factors for cerebral vascular disease and to prevent lacunar infarction.展开更多
Strokes and cerebral vascular accidents (CVAs) and related disease events are an unfortunate circumstance that inflicts individuals around the world and impacts people every day as individuals and their caregivers. Th...Strokes and cerebral vascular accidents (CVAs) and related disease events are an unfortunate circumstance that inflicts individuals around the world and impacts people every day as individuals and their caregivers. The consequences of these strokes or CVA events are life-changing for all those involved. As a result of long-term disability related to strokes, the caregiver may undergo many emotional, psychological, and physical factors that impact their daily lives. There is a relatively short period of time to react to the necessary change and as a result there may be differences in coping associated with these unexpected health circumstances. Many stoke victims experience motor, cognitive, emotional, and psycho-social deficits and their caregivers may not be prepared for these abrupt life altering effects. The impact for caregivers, factors impacting strokes, and solutions for care will be addressed in the paper. Evidence suggests that post fatigue stroke (PFS) may be triggered by a dysfunction of the stress system. Family caregivers with a low level of social engagement may be more likely to perceived stress, and increased risk for caregiver role strain.展开更多
文摘Depressive syndrome is a common complication in cerebral vascular accidents (CVA), which accounts for 70% of the complications. A mild case of the syndrome is marked by grief, sleeping disturbance, weakened mental activities, worry, loss of interest, and irritability. A severe case may have worse symptoms and signs, except the above mentioned ones, such as anxiety, reduced appetite, hallucination, delusion, desperation, etc. The author has adopted acupuncture to treat depressive syndromes after CVA with good therapeutic result as reported in the following.
文摘BACKGROUND： Previous studies have demonstrated that enlarged perivascular spaces （EPVS） are a result of microvascular disease. To date, there are few reports about the relationship between EPVS and lacunar infarction. OBJECTIVE： To investigate whether EPVS is associated with lacunar infarction on the basis of cerebral magnetic resonance （MR） examination, clinical symptoms and signs, and past medical history of patients. DESIGN, TIME AND SETTING： Case contrast analysis was performed at the Department of Neurology, Shanghai Ninth People＇s Hospital from January 2007 to January 2008. PARTICIPANTS： Sixty-eight patients with lacunar infarction were admitted to the Department of Neurology of Shanghai Ninth People＇s Hospital, including 37 cases with first-ever infarction, and 31 with infarction recurrence. In addition, 53 healthy people were selected as controls. METHODS： All participants underwent past medical history investigation, nervous system examination, and cranial MR. The subjects were assessed using the JMW rating scale to identify the EPVS grade. MAIN OUTCOME MEASURES： EPVS scores of patients and controls; risk factors for cerebral vascular disease in patients with first-ever or recurrence of lacunar infarction. RESULTS： The EPVS grade from lacunar infarction patients was significantly higher than of the control group （P 〈 0.05）. The EPVS grade in patients with recurring lacunar infarction was significantly higher than in patients with first-ever infarction （P 〈 0.05）. In addition, hypertension incidence in patients with recurring lacunar infarction was significantly higher than in patients with first-ever infarction （P 〈 0.05）. CONCLUSION： Results indicate that EPVS is related to the incidence of lacunar infarction. Earlier screening of EPVS, and the evaluation of EPVS severity, is of great importance to control the risk factors for cerebral vascular disease and to prevent lacunar infarction.
文摘Strokes and cerebral vascular accidents (CVAs) and related disease events are an unfortunate circumstance that inflicts individuals around the world and impacts people every day as individuals and their caregivers. The consequences of these strokes or CVA events are life-changing for all those involved. As a result of long-term disability related to strokes, the caregiver may undergo many emotional, psychological, and physical factors that impact their daily lives. There is a relatively short period of time to react to the necessary change and as a result there may be differences in coping associated with these unexpected health circumstances. Many stoke victims experience motor, cognitive, emotional, and psycho-social deficits and their caregivers may not be prepared for these abrupt life altering effects. The impact for caregivers, factors impacting strokes, and solutions for care will be addressed in the paper. Evidence suggests that post fatigue stroke (PFS) may be triggered by a dysfunction of the stress system. Family caregivers with a low level of social engagement may be more likely to perceived stress, and increased risk for caregiver role strain.
