抄録
At present condition, it is difficult to operate a Stroke Clinic as a unit of the therapeutic activities in a general hospital. But most of the cerebrovascular accident patients attend a general hospital first, and the proper management at that hospital is of great importance for the final outcome of their rehabilitation.
Our Stroke Clinic was started in March, 1970, not only as an emergency unit, but as an intermediary step on the way to rehabilitation hospitals.
The results after one year's trial were as follows.
1) 80 cases of cerebrovascular accident were treated, of which 43 cases, including 2 craniotomized, were admitted.
2) There were 62 cases (77.4%) of cerebral infarction and only 2 cases (2.5%) of cerebral hemorrhage. The occurance of cerebral infarction was far greater in frequency than in our previous report (1968).
3) As to the cardinal neurological symptoms, 56 cases showed hemiplegia, and serious aphasia was found in 12 cases (15.0%). So the specialists in speech therapy are needed also in a general hospital.
4) The improvements of ADL were better than expected, including 36 independent cases, only 4 (21.0%) could be transferred to rehabilitation centers.
5) Serial cerebroangiographic findings in 56 cases (65.0%) were analysed with reference to their diagnostic practicability and to the prediction of rehabilitation potentials.
6) In view of hospital administration, our Stroke Clinic was not a great burden to the general hospital, though some details remained unsolved; especially there is a great need for sufficient number of paramedical staff.
