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العنوان
Outcome Of Aculte Ischaemic Stroke Clinical And Therapeutic Study /
المؤلف
EL-Kapany, Rasha Aly Mostafa.
هيئة الاعداد
باحث / رشا على مصطفى القباني
مشرف / محمود محمد علام
مناقش / محمد سليمان الطماوى
مناقش / محمد عزت علوان
مناقش / فاروق فؤاد متولى
الموضوع
Cerebrovascular disease. Cerebrovascular diseas - Treatment. Cerebral ischemia.
تاريخ النشر
2005.
عدد الصفحات
223 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الطب النفسي والصحة العقلية
تاريخ الإجازة
1/1/2005
مكان الإجازة
جامعة المنوفية - كلية الطب - الامراض العصبية
الفهرس
Only 14 pages are availabe for public view

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Abstract

Occlusive stoke is a widespread disease affecting large number of population and causing great mortality with tne accompanying social psychological and economic problems and great health care costs neurologists were highly motivated to find an affective treatment which can decrease stroke mortality and minimize the resulting neurological deficit This study was designed to access the value of either unfactionated heparin ,low molecular weight heparin or management of stroke and their impacts on the outcome .also aimed at assessment the value of addition of vitamin B6 , vitaminB12and folic acid to the treatment on the outcome of stoke patients This study was carried out on 60patients with acute ischaemic cerebrovascular stoke whom were divided into 3groups each one composed of 20 patients ,group I received unfractional heparin ,group II received low molecular weigh hearin ,group III received asprin and each of the groups were divided into subgroup (a)who received vitamins and subgroup (b)who didn’t receive vitamins in addition to treatment The patients in this study were subjected to ;full history taking ,medical examination ,complete neurological examination ,laboratory work up for risk factors ,ECG,Echo –cardiography ,carotid duplex ,CT scan (at the time of entery and after one month )and assessment of the severity of stoke using outcome scales ,NIHSS and SSS (at the time of entery ,after 14days and one month ) The important Results: • No statistically significant difference between the three groups as regards demographic factors ,main clinical manifestations clinical risk factors laboratory finding ECG and Echo finding duplex findings • No statistically significant difference between the three groups as regards CT finding (site ,size, side of infarction )also follow up CT finding.