Acute phase of ischemic stroke in diabetes mellitus of type II

Examination of 102 patients with acute ischemic stroke and diabetes mellitus of type II was carried out. Cerebral ischemia developed on the background of concomitant risk factors: hypertension, coronary disease, and dislipidemia. Ischemic stroke in diabetes mellitus type II has several characteristic features in the acute phase: it occurs frequently in the period of patients daily activity, clinical presentations are more severe and include severe disturbances of consciousness and marked focal neurological symptoms. Repeated strokes occur in 33% of cases. According to pathogenetic subtype, atherothrombotic stroke is prevalent in diabetes mellitus of type II. Computed tomography in the majority of patients showed multiple small cysts, leucoaraosis and atrophic changes, that suggests the presence of long-term chronic insufficiency of cerebral blood flow.

Abstract licence: CC BY

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