04.06.2013 Views

S. Nica, I. Davidescu - medica.ro

S. Nica, I. Davidescu - medica.ro

S. Nica, I. Davidescu - medica.ro

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

72 REVISTA ROMÂNÅ DE NEUROLOGIE – VOL. V, NR. 2, AN 2006<br />

• Lipsa adaptårii la cåldurå<br />

• Factori genetici care implicå gene ce codificå<br />

cytokine ¿i p<strong>ro</strong>teine implicate în ¿ocul termic<br />

• Activitå¡i prelungite la temperaturi ridicate:<br />

solda¡i, atle¡i, mineri<br />

• Deshidratarea<br />

• Boli asociate (boli cardiovasculare, diabet insipid,<br />

epilepsia, hiperti<strong>ro</strong>idia, hipokaliemia, infec¡ii,<br />

obezitate, boli tegumentare – fib<strong>ro</strong>za chisticå –<br />

ce împiedicå sudora¡ia)<br />

• Abuzul de d<strong>ro</strong>guri (alcool, amphetamine, cocaina,<br />

opiacee, halucinogene) ¿i unele <st<strong>ro</strong>ng>medica</st<strong>ro</strong>ng>mente<br />

(alfa-adrenergice, antipsihotice, barbiturice,<br />

anticolinergice, benzodiazepine, antihistaminice,<br />

blocan¡i ai canalelor de calciu,<br />

betablocan¡i, diuretice, simpatomimetice, antidepresive<br />

triciclice).<br />

Cauze de hemoragie intracranianå la tineri<br />

(adaptare dupå Stern ¿i Wityk, 1994)<br />

• traumatisme<br />

• anevrisme<br />

– congenitale<br />

– anevrisme intracraniene familiale cu transmitere<br />

autosomalå<br />

– micotice<br />

• malforma¡ii vasculare<br />

– arteriovenoase, cavernoame, venoase<br />

• hipertensiune, sind<strong>ro</strong>mul de rinichi polichistic<br />

• coagulopatii<br />

• arterite<br />

– sterile<br />

– infec¡ioase<br />

• consum de simpatomimetice<br />

– cocainå sau deriva¡ii ei<br />

– fenfluramina<br />

– fenilp<strong>ro</strong>panolamina, efedrina/efedra<br />

• hemoragie în tumorå<br />

• boala Moyamoya<br />

• hemoragie intracerebralå ereditarå<br />

– de tip german (muta¡ie la nivelul genei p<strong>ro</strong>teinei<br />

precursoare amiloidului)<br />

– de tip islandic (muta¡ie la nivelul cistatinei C)<br />

• migrena<br />

Cauze mai frecvente de AVC la copii ¿i adolescen¡i<br />

Boli cardiace congenitale (Savage et al, 1977)<br />

• Defecte septale<br />

BIBLIOGRAFIE<br />

1. Adams RJ, McKie VC, Hsu L et al – Prevention of a first st<strong>ro</strong>ke by<br />

transfusions in children with sickle cell anemia and abnormal<br />

results on transcranial doppler ultrasonography. N Eng J Med,<br />

1998, 339, 5-11.<br />

• Duct arterial patent<br />

• P<strong>ro</strong>laps sau stenozå valvularå<br />

Boli cardiace dobândite<br />

• Boli cardiace reumatismale<br />

• Cardiomiopatie<br />

• Endocarditå<br />

• Disritmie cardiacå<br />

• Boala Kawasaki (Nadel ¿i Levin, 1993)<br />

Boli infec¡ioase sau inflamatorii<br />

• Meningitå bacterianå<br />

• Meningitå fungicå, tuberculoaså, ameobianå<br />

• AIDS (Burns, 1992)<br />

• Pericarditå<br />

• Encefalitå viralå (variceloaså)<br />

• Migrenå<br />

Malforma¡ii cereb<strong>ro</strong>vasculare<br />

• malforma¡ii arteriovenoase<br />

• anevrisme intracraniene, mai ales cele asociate<br />

cu coarcta¡ia de aortå ¿i sind<strong>ro</strong>mul de rinichi<br />

polichistic<br />

• displazie fib<strong>ro</strong>muscularå<br />

• sind<strong>ro</strong>m Sturge-Weber<br />

Traumatisme craniene<br />

Disfunc¡ii vasculare sistemice<br />

• Dehidratare/deple¡ie volumetricå<br />

• Hipernatremie<br />

• T<strong>ro</strong>mbozå de sinusuri venoase<br />

• Hipertensiune<br />

Afec¡iuni vasculare<br />

• Utilizarea cocainei/amfetaminei<br />

• Sind<strong>ro</strong>m Moyamoya<br />

• Encefalomiopatie mitocondrialå<br />

• Sind<strong>ro</strong>m hemoliticuremic<br />

• Purpurå Henoch-Schonlein<br />

• Homocistinurie<br />

• Boli de ¡esut conjunctiv<br />

Boli hematologice<br />

• Sickle cell disease ¿i alte hemoglobinopatii<br />

• Purpurå t<strong>ro</strong>mbocitopenicå<br />

• Coagulare intravascularå diseminatå<br />

• Leucemie sau alte neoplasme<br />

• Hemofilie<br />

• Antit<strong>ro</strong>mbinå III<br />

• Deficit de p<strong>ro</strong>teinå C, S sau de vitaminå K<br />

• Sind<strong>ro</strong>m antifosfolipidic<br />

• Contraceptive orale<br />

2. Adams Jr HP, Kappelle LJ, Biller J et al – Ischemic st<strong>ro</strong>ke<br />

in young adults. Experience in 329 patients en<strong>ro</strong>lled in the<br />

Iowa Registry of St<strong>ro</strong>ke in Young adults. Arch Neu<strong>ro</strong>l, 1995,<br />

52, 491-495.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!