Clinical-neurological differences of patients with ischemic cerebrovascular disease under and over 65 years of age

Clinical-neurological differences of patients with ischemic cerebrovascular disease under and over 65 years of age

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Introduction: The ischemic cerebrovascular disease has a high frequency due to the population aging mainly.Objective: To compare clinical characteristics of patients with ischemic cerebrovascular of two age groups.Methods: A descriptive, cross-sectional, retrospective study was carried out in the Neurology and Neurosurgery Institute in Havana, from January to December, 2017 in patients with ischemic cerebrovascular disease; 36 individuals of both age groups.

In this regard, demographic variables, risk factors, clinical manifestations, coma scale and neurological deficiency, etiology and localization of the ischemic ictus were analyzed.Results: The 65 years group Matting/Signage had a significant increase of hypertensive patients (88.9%).

The average of the National Institute of Health stroke scale was superior in these patients (median [10-90 percentile]: 9.5 [4-19]).There was statistical increment of over 65 years patients with partial paralysis of the look and ataxia, but monoparesis and visual extinction in the age under 65 years.

Such a scale had a statistical increase in the atherothrombotic and cardioembolic ictus in comparison with other etiologies in both patient groups.The Warm-Ups over 65 years patients with just one risk factor or and those with hypertension had a higher punctuation of the scale.Conclusions: The degree of neurological affectation was higher in over 65 years patients that had a risk factor and in those with hypertension.

As a result it could be suggested that the molecular and pathophysiolologic mechanisms of these patients vary with the age.