INTRODUCTION Cerebrovascular disease (CVD) has become an important health problem throughout the world. It is generally one the main causes of morbidity and mortality in the world, especially in developed countries. In these countries the frequency with which it appears is linked with the progress reached in the organisation of the public health system and the higher economic and social standards of their populations, which have given rise to prolonged life expectancy and a greater number of elderly people. In poor countries, however, in recent times there has also been an increase in the number of cases of this entity, although there is no correspondence with the arguments mentioned above concerning rich nations. The risk factors (RF) that are invoked when talking about its genesis must always be taken into account when dealing with its prevention. AIMS. To draw attention to the increase in the number of CVD in an under-developed country, apparently due to the high frequency of the acquired immunodeficiency syndrome suffered by the population.
PATIENTS AND METHODS A study was conducted involving all the patients admitted to the Hospital Central de Beira between 1 January 1988 and 30 June 1999 with a clinical picture compatible with a CVD. They had all been examined by a neurologist (always the same one) and had also been submitted to serological tests to detect the human immunodeficiency virus (HIV).
RESULTS Of the 155 cases with CVD, 56.7% were HIV+. Below the age of 50, CVD is generally not associated with any other RF. CONCLUSION. These findings show that we must expect an increase in the morbidity and mortality from CVD in poor nations, which will balance out the difference that existed up to a few years ago with the more developed countries. The appearance of CVD in young subjects, without any other apparent cause, will force us to rule out a possible HIV infection in high-risk individuals
KeywordsAIDSCerebrovascular diseaseHIVRisk factorsCategoriesInfeccionesPatología vascular
FULL TEXT(solo disponible en lengua castellana / Only available in Spanish)
Si ya es un usuario registrado en Neurologia, introduzca sus datos de inicio de sesión.
Rellene los campos para registrarse en Neurologia.com y acceder a todos nuestros artículos de forma gratuita
¿Olvidó su contraseña? Introduzca su correo electrónico y le haremos llegar una nueva
¡CONVIÉRTASE EN USUARIO PREMIUM DE NEUROLOGIA.COM!
Al hacerse premium, está apoyándonos para que Revista de Neurología
siga siendo uno de los referentes de habla hispana en la difusión del
conocimiento en neurociencias. ¡Gratuita tanto para autores como para
todos los usuarios de la web!
Además, por convertirte en usuario premium, recibirá las siguientes ventajas:
Plaza asegurada en todos nuestros Másteres (www.ineurocampus.com)
Descuento del 5% en los cursos de “Actualización en Neurología”, la FMC que estará disponible próximamente en la web.
Descarga gratuita en formato PDF dos de las obras con más éxito publicadas por Viguera Editores:
Oromotors Disorders in childhood (M. Roig-Quilis; L. Pennington)
Manual de Neuropsicología 2ª ed. (J. Tirapu-Ustárroz; M. Ríos-Lago; F. Maestú)
El precio para hacerse Premium durante el periodo de un año es de 5€, que podrá pagar a continuación a través de una pasarela de pago seguro con tarjeta de crédito, transferencia bancaria o PayPal:
OPEN ACCESS
