Stroke in Colorectal Cancer Patients.

, Kim, Chung Reen; , Kim, Yong Mi; , Choi, Kyoung Hyo; , Jeon, Jae Yong; , Kim, Jin Cheon; , Kwon, Sun Uck; , Kim, Hee Cheol

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2009;33(2):172-176.

Kim, Chung Reen , Kim, Yong Mi , Choi, Kyoung Hyo , Jeon, Jae Yong , Kim, Jin Cheon , Kwon, Sun Uck , Kim, Hee Cheol

¹Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Korea. khchoi@amc.seoul.kr
²Department of Colorectal Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea.
³Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Korea.
⁴Devision of Gastrointestinal Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.

대장암 환자에서 발생한 뇌졸중

김충린,김용미,최경효,전재용,김진천1,권순억2,김희철3

울산대학교 의과대학 서울아산병원 재활의학교실, 1대장항문외과학교실, 2신경과학교실, 3성균관대학교 의과대학 삼성서울병원 외과학교실

Abstract

Objective
To find the characteristics of stroke in colorectal cancer patients.
Method
We retrospectively analyzed 32 patients of stroke in colorectal cancer who were operated from January 2001 to December 2002 by reviewing their charts and brain CTs or MRIs. The type, risk factor, localization and origin of stroke and the stage of colorectal cancer were analyzed.
Results
The mean age was 69.2 years. TNM stage II (41%) was the most common. Twenty-three cases were ischemic stroke, four were hemorrhagic stroke and the others were unidentified. Diabetes (63%), hypertension (53%), cardiac disease (19%), and family history of stroke (9%) were ob-served in patients. The main cause of ischemic stroke was arterial thrombosis, and lacunar and middle cerebral infarc-tion were more common in ischemic stroke.
Conclusion
Several common risk factors between colorectal cancer and stroke were observed, and these risk factors are associated with the atherosclerosis of cerebral vascular system. To reduce the incidence of cerebrovascular disease and colorectal cancer, we may need to control those risk factors. (J Korean Acad Rehab Med 2009; 33: 172-176)

Key Words: Colorectal cancer, Prevalence, Risk factor, Stroke