RESUMO
INTRODUCTION: We conducted a retrospective study on patients who were diagnosed with ischemic stroke and hospitalized in Neurology I Neuropsychiatric Hospital of Craiova, Romania, between 2010-2014. We based our study on 6391 patients admitted with ischemic stroke. MATERIAL AND METHODS: We evaluated patients based on demographic data (age, sex, environment); neurological and cardiological examination; risk factors and comorbidities. RESULTS: After analyzing the results the most of the pacients included in our study by origin of country, most of them were from rural areas (61%-4201 cases), and the rest were from urban areas (39%-2730 cases). From the risk factors the most common was high blood pressure present in about 70% of all patients. The most common etiopathogenic mechanism was due to cerebral artery thrombosis 86% followed by cerebral artery embolism 11%. CONCLUSIONS: The high blood pressure was found to be significantly associated with risk of ischemic stroke. Regarding etiopathogenicity in our study cerebral artery thrombosis was present in most cases.
RESUMO
Traumatic brain injuries (TBIs) represent a problem of public health all over the world if we consider its incidence, mortality and the big social costs. The increase of road and train traffic, the development of industry, the growth of alcohol consumption, the emergence and increase of terrorist attacks have led to more frequent and severe TBIs. There were registered 3260 deaths at the Institute of Forensic Medicine in Craiova, Romania, between 2010 and 2014; they were the result of severe traumas, 622 (19.07%) being caused by TBIs. The most affected by TBIs were men (the men÷women ratio was of 3÷1) and the elderly, mainly in the rural area. The main risk factor was alcohol intake; about 44% of the deceased people were under alcohol influence. The forensic examination highlighted the severity of cerebral meningeal lesions, the most frequent being cerebral and vascular lesions. The histopathological and immunohistochemical examinations emphasized various microscopic changes in accordance with the severity of the trauma and the time passed from impact until death.