Epidemiology and Symptomatology

  • Jiro Suzuki


According to figures published by the World Health Organization (WHO) in 198330, diseases of the circulatory system were responsible for some 23% of deaths throughout the world, including both developing and developed nations. In the developed nations alone, however, such diseases accounted for nearly half (48%) of all deaths, among which 21% were due to ischemic heart disease, 13% to cerebrovascular disorders and 14% to other vascular diseases. In other words, cerebrovascular disease (CVD) is second only to ischemic heart disease as a major health problem in the developed nations of the world (Fig. 7-1).


Internal Carotid Artery Middle Cerebral Artery Cerebral Infarction Middle Cerebral Artery Occlusion Vascular Lesion 


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  1. 1.
    Aoki N, Horibe H, Kasagi F (1984) International mortality statistics for all causes, cerebrovascular disease ischemic heart disease and diabetes mellitus 1958–1978. Department of Epidemiology National Cardiovascular Center Research Institute. Osaka, Japan, pp 207–208Google Scholar
  2. 2.
    Baum HM, Goldstein M (1982) Cerebrovascular disease type specific mortality: 1968–1977. Stroke 13: 810–817PubMedCrossRefGoogle Scholar
  3. 3.
    Berry RG, Alpers BJ (1957) Occlusion of the carotid circulation: Pathologic considerations. Neurology 7: 223–237PubMedGoogle Scholar
  4. 4.
    Bounds JV, Wiebers DO, Whisnant JP et al (1981) Mechanisms and timing of deaths from cerebral infarction. Stroke 12: 474–477PubMedCrossRefGoogle Scholar
  5. 5.
    Brown M, Glassenberg M (1973) Mortality factors in patients with acute stroke. JAMA 224: 1493–1495PubMedCrossRefGoogle Scholar
  6. 6.
    Castaigne P, Lhermitte F, Gautier J-C et al (1970) Interal carotid artery occlusion. A study of 61 instances in 50 patients with postmortem data. Brain 93: 231–258PubMedCrossRefGoogle Scholar
  7. 7.
    Dejong RN (1976) The neurological examination. Evanston, New York, Harper and Row, London, pp 452–453Google Scholar
  8. 8.
    Fukada N, Ogawa A, Yoshimoto T et al (1985) Clinical course and prognosis of middle cerebral artery occlusion in the acute stage. Jpn J Stroke 7: 425–432CrossRefGoogle Scholar
  9. 9.
    Greenwood J (1968) Acute brain infarction with high intracranial pressure: Surgical indications. Johns Hopkins Med J 122: 250–260Google Scholar
  10. 10.
    Hurwitz LJ, Groch SN, Wright IS et al (1959) Carotid artery occlusive syndrome. Arch Neurol 1: 491–501PubMedCrossRefGoogle Scholar
  11. 11.
    Jones HR, Mian CH (1976) Temporal profile (clinical course) of acute carotid system cerebral infarction. Stroke 7: 64–71PubMedCrossRefGoogle Scholar
  12. 12.
    Katz H et al (1966) Prognosis after stroke, part 2. Long term course of 159 patients. Medicine (Bait) 45: 236Google Scholar
  13. 13.
    Kogure T, Ogawa A, Seki H et al (1985) Clinical course and prognosis of internal carotid artery occlusion in the acute stage. Jpn J Stroke 7: 394–401 (Eng Abstr)CrossRefGoogle Scholar
  14. 14.
    Larry KY, Nimmaitya J (1970) Massive cerebral infarction with severe brain swelling. Stroke 1: 158–163CrossRefGoogle Scholar
  15. 15.
    Marquardsen J (1969) The natural history of acute cerebrovascular disease. A retrospective study of 769 patients. Munksgaard, Copenhagen, pp 44–45Google Scholar
  16. 16.
    Marshall J, Kaeser AC (1961) Survival after nonhemorrhagic cerebrovascular accidents. Br Med J 2: 73PubMedCrossRefGoogle Scholar
  17. 17.
    Nakamura N, Kogure T, Ogawa A et al (1986) Prognosis of ischemic cerebrovascular disease without positive angiograph-ical findings. Jpn J Stroke (in press) (Eng Abstr)Google Scholar
  18. National public health, it’s trend, health and welfare statistics, Health and Welfare Statistics Soc: 64 (1983)Google Scholar
  19. 19.
    Nishimaru K, Omae T (1972) Three years follow-up of survivors from acute ischemic stroke. Nippon Ronen 9: 42–49CrossRefGoogle Scholar
  20. 20.
    Nishimaru K, Beppu M (1978) The actural circumstances of transitory ischemic apoplexy in Japan-the relationship of its etiology to cerebral infarct apoplexy. The Journal Clinical Science 14: 165–173Google Scholar
  21. 21.
    Ohta T, Waga S, Handa H et al (1974) New grading of level of disordered consciousness. No Shinkei Geka 2: 623–627 (Eng Abstr)PubMedGoogle Scholar
  22. 22.
    Okinaka S (1966) Epidemiological study of cerebral apoplexy~follow-up research in 17 municipalities throughout Japan during the last 3 years. Japanese Medical Journal (Tokyo) 2221: 19–28Google Scholar
  23. 23.
    Otomo E (1982) Easy treatable cerebral infarct-complete recuperative cerebral apoplexy (RIND: reversible ischemic neurological deficit). Nippon Rinsho 40: 2208–2212 (Eng Abstr)PubMedGoogle Scholar
  24. 24.
    Radue EW; Moseley IF (1978) Carotid artery occlusion and computed tomography. A clinicoradiological study. Neuroradiology 17: 7–12CrossRefGoogle Scholar
  25. 25.
    Shaw CM, Alvord EC Jr, Berry RG (1959) Swelling of the brain following ischemic infarction with arterial occlusion. Arch Neurol 1: 161–177PubMedCrossRefGoogle Scholar
  26. 26.
    Shenkin HA, Haft H, Somach FM (1965) Prognostic significance of arteriography in nonhemorrhagic strokes. JAMA 194: 612–616PubMedCrossRefGoogle Scholar
  27. Statistical analysis of movement of population by the Ministry of Health and Welfare (1983)Google Scholar
  28. 28.
    Takanashi A, Ogawa A, Sakurai Y et al (1982) CT findings of cerebral hemorrhagic infarction. Progress in CT (Tokyo) 4: f 153–158Google Scholar
  29. 29.
    Whisnant JP et al (1973) Transient cerebral ischemic attacks in a community; Rochester, Minnesota, 1955 through 1969. Mayo Clin Proc 48: 194–198PubMedGoogle Scholar
  30. 30.
    World health statistics annual, WHO, Geneva (1983)Google Scholar

Copyright information

© Springer-Verlag/Wien 1987

Authors and Affiliations

  • Jiro Suzuki
    • 1
  1. 1.Division of Neurosurgery, Institute for Brain DiseasesTohoku University School of MedicineNagamachi, SendaiJapan

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