Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0018991 (hemiplegia)
 3,997 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A clinicopathological analysis of myocardial infarction with an onset of stroke-like symptoms was carried out on 30 autopsy cases at the Tokyo Metropolitan Geriatric Hospital. The cases were classified into four groups according to the types of brain lesions, I: embolism (n = 17), II: thrombosis (n = 9), III: bleeding (n = 2), and IV: no remarkable focal lesion (n = 2). Classification was made based on clinical findings, and pathological features. The characteristic clinical findings were conciousness disturbance, no elevation of blood pressure at the onset of stroke, hemiplegia and shock. However, the typical anginal chest pain was found in only 17% of cases. The underlying diseases and complications were hypertension, atrial fibrillation (Af), disseminated intravascular coagulation (DIC), renal failure, malignant neoplasma, and diabetes mellitus. The incidences of Af, DIC, mural thrombus, non-bacterial thrombotic endocarditis (NBTE) were significantly higher in the group with cerebral embolism than in the group with cerebral thrombosis. The coronary stenotic index was also smaller in the group with cerebral embolism. Therefore, the major etiology of cardio-cerebral apoplexy was a simultaneous embolism to the brain and heart due to Af, NBTE or, DIC.
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PMID:[Myocardial infarction beginning with cerebral symptoms in 30 cases of cardio-cerebral apoplexy]. 204 62

A total of 973 data sheets and case histories of patients who were discharged in 1983 from the Medical-Geriatric Clinic of the Albertinen-Haus in Hamburg have been evaluated. The patients either died at the clinic or were transferred to other hospitals or homes for the aged. Out of the total of 973 patients, 290 (29.8%) were male and 683 (70.2%) were female. The average age was 76.36 years. 62.5% of the examined patients were transferred from general hospitals (608). 35.14% were either admitted from their homes, homes for the aged and nursing homes, or the geriatric day care centre. On examination 80 patients were found to be dependent on long-term nursing care. A total of 64 (6.58%) patients died. Patients stayed on average 38 days. With 31.75% hemiplegia was the most frequent diagnosis. Married men were found to be more dependent on nursing care and their rate of mortality (9.65%) was higher than that of women (5.27%). However, they were discharged earlier. Otherwise older single women were admitted to nursing homes or long-term nursing wards more frequently, although they were in a relatively better state of health. In 73% of all cases the estimated success of rehabilitation was positive, and in 23% negative, because no improvement of the general state of health was noticed. The main diagnosis and the state of health on admission were determining factors for evaluating the success of rehabilitation. If the general condition was poor on admission, it correlated with a significaning longer stay, a deteriorated state of health on discharge, poor rehabilitation and a higher rate of mortality.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Documentation of rehabilitated patients at a medical geriatric clinic]. 370 92

A 70-year-old female was admitted to a general hospital in a rural area due to left putamenal cerebral hemorrhage in December 1994. She had right hemiplegia and was totally aphasic. In May 1995, she was moved to Tokyo where her son lives, and she was admitted to Tokyo Metropolitan Geriatric Hospital in order to prepare a home care system. her family's support (serving her favorite dishes) allowed enteral tube feeding to be halted. After one month she could absorb enough energy to maintain her serum albumin level. The total calories ingested orally was comparable to that of enteral feeding but the fat composition was 62% of that of enteral feeding (fat was 19.6% and 31.7% of the total calories in the two diets, respectively). Her cholesterol level decreased from 286 mg/dl to 197 mg/dl. Nutrient-balanced tube feeding is useful, but may disturb lipid metabolism in patients used to having vegetable-rich diets.
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PMID:[Normalization of hypercholesterolemia in a female stroke patient after switching from enteral tube feeding to oral feeding]. 865 78