Annals of Rehabilitation Medicine

Original Article: J Korean Acad Rehabil Med. 2009;33(2):172-176.; 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; 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.

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)

Keywords :Colorectal cancer, Prevalence, Risk factor, Stroke