Sudden or unexpected death may occur approximately in 6% of patients with acute ischemic stroke during early period.
This study was designed to define cardiac predictors of sudden death in patients with ischemic stroke by using QT
interval dispersion on the surface electrocardiogram (ECG). Also, we assessed temporal variation of QT dispersion
during the first week. We aimed to find the most vulnerable period to sudden death and ventricular tacharrhythmia.
Thirty consecutive patients with MCA-territory infarction (MCAO) were compared with a control group of 21 patients
with upper gastrointestinal system bleeding. A cardiologist, unaware of diagnosis, measured QT and RR intervals in ali
leads of ECGs if possible and calculate QT dispersion (QTd), corrected QT dispersion (QTcd), and adjusted QT dispersion
(aQTcd) for each. The average QTd, QTcd, and aQTcd in patients with MCAO were 63.3±19.7, 56.0±15.2 and 45.3±16.4
millisecond (ms) respectively and higher than controls (42.4±14.1, 47.2±7.6 and 27.6±11.8). in 4 patients with sudden
cardiac arrest and 2 patients with ventricular tacharrhythmia in MCAO group, mean QTd, QTcd, and aQTcd were
(90.0±8.9, 61.4±18.6, 65.1±10.4 ms respectively) significantly greater than survivors (56.3±14.1, 54.4±14.8, 40.0±13.2).
Average QT dispersion parameters showed a nonsignificant tendency of augmentation in right MCAO with respect to
left. in MCAO group, the QT dispersion parameters gradually prolonged during first half of first week and it reached the
peak value on third day.This was more evident in right than left.
QT dispersion is a marker of myocardial electrical instability. The increased QTd in stroke patients with unexpected
death suggests that patients at high risk could be identified. This simple, noninvasive and mostly reproducible test allow
early identification of these high risk patients and continuous cardiac monitoring may be advisable in most susceptible
period.

We compared clinical and laboratory data between 70 cardiac embolism and 87 arterial embolic patients selected from the 516 patients with cerebral infarction. Patients with cardiogenic embolism were younger in comparison to the arterial embolic patients ( 53±14 yr versus 64±11 yr , p<0.0001). We detected significantly higher rate of transient ischemic attacks (38 % versus 10 %), ischemic heart disease (25% versus 13%) and obesity ( 33% versus 18%) in arterial embolic patients than in cardiac embolic patients. ýt has been shown that in cardioembolic strokes abrupt onset is more obvious observed, whereas the progressive course was more dominant in arterial embolic strokes.

The hyperkinetic or hypokinetic movement disorders have been reported during the acute phase of stroke as well as after delays of up to months or years. The extrapyramidal syndromes reported in association with cerebrovascular lesions or not. The arteriosclerosis due to hypertension and diabetes mellitus is found in patients. The patients characterized short-stepped gait, axial rigidity, absence of tremor, one of or one more of other extrapyramidal signs and negative response to levodopa. We discussed two different vascular parkinsonism cases that one of both is associated with stroke, other only had the changes of arteriosclerosis, under the literature.

Knowing risk factors for stroke, which is the most common neurologic disease causing severe disability and deatl important for prevention of first and recurrent stroke. We aimed to define the risk factors and the relation of risk fac with mortality in stroke patients. in this study, 29 intracerebral hemorrhage and 122 cerebral infarction cases were evaluated retrospectively. There were male and 80 female patients, and the mean age of patients was 65.65±10.78 years. it is striking that, with advancing' the highest stroke incidence was seen between 61-70 years of age (45.7 %-69 cases). The rate again decreased over 70 YE old age. Hypertension (87 cases- 57.6%) was the mostly seen risk factor, and it is followed by heart disease (59 cases- 39.1 %) c Diabetes Mellitus (55 cases-36.1 %). There were 34 cases (22.5 %), 10 with intracerebral hemorrhage and 24 with ischeý stroke, dying in the first thirty days. The percentage of those who died having Diabetes Mellitus, hypertension and hE disease was 38.2, 21 and 22 respectively. Each one of the disease stressed here is an important risk factor for stroke. Especially, with advancing age, obeying dý and dietary regime for those having one of these disease gains importance for prevention of stroke.

Capsular genu syndrome is characterized with contralateral central facial, lingual paresis, dysarthria, and the lesion is localized in the genu of capsula interna.Furthermore, there may be palatal-pharyngeal-masticator weakness, unilateral vocal cord paralysis and contralateral paresis.In this study,we have presented two patients with central facia! paresis, 9-10-12. cranial nerve paresis and dysartrhria. in both cases the lesion area were containing the genu of capsula intema. Although the clinical view was similar to the brainstem vascular event the lesion location was so different.