Document Detail

The pitfall in conservative therapy for working patients with brain ischemia.
MedLine Citation:
PMID:  24633183     Owner:  NLM     Status:  In-Data-Review    
A 59-year-old employed man was recommended to have surgical treatment for symptomatic left middle cerebral arterial stenosis. He refused surgical treatment for social reasons but was given conservative therapy for the prevention of the recurrence of cerebral infarction. Immediately after he retired, he had severe recurrent cerebral infarction with severe anemia and low blood pressure due to gastroduodenal ulcer bleeding. It was inferred from MRI findings that this recurrent cerebral infarction was related to a hemodynamic mechanism and mental stress due to the gastroduodenal ulcer. The influence of occupational mental stress has been reported to be a risk factor of gastroduodenal ulcer. The occupational situation of a patient should be an important factor in consideration of the prevention of cerebral apoplexy.
Yuichi Aoyama; Shinsuke Ohta; Saburou Sakaki; Shigeru Nishizawa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of UOEH     Volume:  36     ISSN:  0387-821X     ISO Abbreviation:  J. UOEH     Publication Date:  2014  
Date Detail:
Created Date:  2014-03-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7909645     Medline TA:  J UOEH     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  33-9     Citation Subset:  IM    
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