RESUMO
BACKGROUND: Differences in risk factor prevalence and distribution of atherosclerotic cerebrovascular disease have been reported among different racial-ethnic groups. Identification of stroke syndromes and risk factors specific to the Puerto Rican male population should lead to more effective diagnosis, treatment, and prevention programs. METHODS: We prospectively and consecutively evaluated 118 Hispanic male veterans admitted to our Stroke Unit from June 1994 to September 1995. RESULTS: Ninety patients (76%) had an ischemic infarct, 26 (22%) had a transient ischemic attack, and 2 (2%) had an intracerebral and/or subarachnoid hemorrhage. Hypertension was the most common risk factor. Echocardiographic studies were done in 64% of the patients, and the most common findings were concentric left ventricular hypertrophy and diastolic dysfunction. Cerebral angiography was done in 40 cases, and findings were abnormal in 32 (80%). CONCLUSIONS: We believe this is the largest descriptive study of Hispanic male veterans with stroke syndromes. It provides baseline data to serve as a comparison group for future research.
Assuntos
Transtornos Cerebrovasculares/etnologia , Hispânico ou Latino , Veteranos , Adulto , Idoso , Idoso de 80 Anos ou mais , Angiografia Cerebral , Hemorragia Cerebral/etnologia , Transtornos Cerebrovasculares/diagnóstico por imagem , Hispânico ou Latino/estatística & dados numéricos , Humanos , Ataque Isquêmico Transitório/etnologia , Masculino , Pessoa de Meia-Idade , Porto Rico/epidemiologia , Fatores de Risco , Veteranos/estatística & dados numéricosRESUMO
Two patients from Puerto Rico with progressive paraparesis had serum positive for human T lymphotropic virus type I (HTLV-I) antibodies by ELISA and Western blot, and one patient had HTLV-I antibodies in CSF by the ELISA method. Although the Caribbean basin is considered to be an endemic area for tropical spastic paraparesis, this is the first report of the isolation of HTLV-I antibodies in the serum and CSF of patients with chronic myelopathies in Puerto Rico.
Assuntos
Anticorpos Anti-HTLV-I/análise , Paraparesia Espástica Tropical/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Paraparesia Espástica Tropical/imunologia , Porto Rico/epidemiologiaRESUMO
A patient with hemiballism-hemichorea as the initial manifestation of the acquired immunodeficiency syndrome is described. Movement disorders in AIDS have not been frequently reported. Possible etiologies and therapeutic trials are presented. To our knowledge this is the first case report of hemiballism-hemichorea as the initial presenting feature of an AIDS patient in Puerto Rico.
Assuntos
Síndrome da Imunodeficiência Adquirida/complicações , Coreia/etiologia , Diencéfalo , Transtornos dos Movimentos/etiologia , Síndrome da Imunodeficiência Adquirida/diagnóstico por imagem , Adulto , Encéfalo/diagnóstico por imagem , Coreia/diagnóstico por imagem , Humanos , Masculino , Transtornos dos Movimentos/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
A patient with hemiballism-hemichorea as the initial manifestation of the acquired immunodeficiency syndrome is described. Movement disorders in AIDS have not been frequently reported. Possible etiologies and therapeutic trails are presented. To our knowledge this is the first case report of hemiballism-hemichorea as the initial presenting feature of an AIDS patients in Puerto Rico
Assuntos
Humanos , Adulto , Masculino , Coreia/etiologia , Diencéfalo , Transtornos dos Movimentos/etiologia , Síndrome da Imunodeficiência Adquirida/complicações , Cérebro , Coreia , Transtornos dos Movimentos , Síndrome da Imunodeficiência Adquirida , Tomografia Computadorizada por Raios XRESUMO
The development of neurologic deficits confined to the corticospinal tracts has been referred as Primary Lateral Sclerosis (PLS). Through the years, this diagnosis has remained uncertain. In this study we describe seven patients with chronic involvement of the pyramidal system. Two of these patients had serologic evidence of human T-lymphotrophic virus type I infection, one patient had multiple sclerosis and in four patients the clinical diagnosis of PLS was made. The clinical characteristics and diagnostic studies of these patients are presented. A review of the literature with emphasis in the differential diagnosis and a proposed workup for patients with chronic spastic paraparesis are made. This study provides supporting evidence in favor of the clinical entity of PLS.
Assuntos
Esclerose Lateral Amiotrófica/diagnóstico , Paraparesia Espástica Tropical/complicações , Adulto , Idoso , Esclerose Lateral Amiotrófica/complicações , Doença Crônica , Diagnóstico Diferencial , Humanos , Pessoa de Meia-IdadeRESUMO
La aparición de signos neurológicos confinados al tracto piramidal se conoce como esclerosis lateral primaria. A través de los años, este diagnóstico ha sido cuestionado. En este estudio se describen siete pacientes con daño crónico del sistema piramidal. Dos de estos pacientes tenían evidencia serológica de infección con el virus humano T-linfotrópico tipo I. Un paciente tenía esclerosis múltiple y en cuatro pacientes el diagnóstico de esclerosis lateral primaria fue hecho. Las características clínicas y estudios diagnósticos de estos pacientes son presentados, incluyendo una revisión de la literatura con énfasis en el diagnóstico diferencial de paraparesis espática crónica. Este estudio provee evidencia a favor del diagnóstico de esclerosis lateral primaria como una entidad clínica