Localization and type of acute stroke in relation to sleep apnea

Q4 Medicine
B. Kojić, Z. Dostović, Omer C. Ibrahimagic, D. Smajlović, R. Hodžić, Amra Iljazović
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Abstract

Background: More than 50% of stroke patients have sleep-disordered breathing.Aim: To determine whether the location and type of stroke affect the occurrence of sleep apnea.Patients and methods: We analyzed 110 patients with acute stroke and verified sleep apnea. Acute stroke has been verified either by computerized tomography or magnetic resonance imaging of the brain. Average age was 65.13±9.27 years and it was 59% men. Number of patients without apnea in control group was the same as well as gender distribution, with average age 64±8.69 years.Results: Apnea was verified in 22% patients. The largest number of patients with and without apnea had ischemic stroke 83.6%, while 16.4% of patients had hemorrhagic stroke. Of these, there were 86.2% men and 80% women with ischemic and 13.8% men and 20% women with hemorrhagic stroke. With apnea, the largest number had a lesion in two or more places 51.8%,as well as without apnea 45.45%, but the difference was not statistically significant. According to the acute stroke, the largest number of patients with and without apnea had lesions in the left and right hemispheres 45.4%. There was no statistically significant association between apnea and localization of stroke in the left or in both hemispheres. There is a statistically significant association of AS localization in the right hemisphere with the occurrence of apnea.Conclusion: There is a statistically significant association between the localization of stroke in the right hemisphere and the occurrence of apnea.
急性脑卒中的定位和类型与睡眠呼吸暂停的关系
背景:超过50%的脑卒中患者存在睡眠呼吸障碍。目的:确定中风的部位和类型是否影响睡眠呼吸暂停的发生。患者和方法:我们分析了110例急性脑卒中患者,并证实了睡眠呼吸暂停。急性中风已经通过计算机断层扫描或大脑磁共振成像得到证实。平均年龄为65.13±9.27岁,其中59%为男性。对照组中无呼吸暂停的患者人数和性别分布相同,平均年龄为64±8.69岁。结果:22%的患者呼吸暂停得到证实。有和没有呼吸暂停的患者中,缺血性中风患者最多,占83.6%,而出血性中风患者占16.4%。其中,86.2%的男性和80%的女性患有缺血性中风,13.8%的男性和20%的女性患有出血性中风。有呼吸暂停的患者中,有两处或两处以上病变的人数最多,占51.8%,没有呼吸暂停的占45.45%,但差异无统计学意义。根据急性卒中,有和没有呼吸暂停的患者中,左半球和右半球病变的人数最多,占45.4%。呼吸暂停与左半球或两半球卒中定位之间没有统计学上的显著关联。AS在右半球的定位与呼吸暂停的发生具有统计学意义。结论:脑卒中在右半球的定位与呼吸暂停的发生之间存在统计学上显著的相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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Acta Medica Saliniana
Acta Medica Saliniana Medicine-Medicine (all)
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