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NEUROLOGY 2004;63:1974-1975
© 2004 American Academy of Neurology
Brief Communications

Stroke in rural Ecuador

A three-phase, door-to-door survey

O. H. Del Brutto, MD, L. Idrovo, MD, A. Mosquera, MD, C. Navas, MD, R. Santibáñez, MD, F. Cuesta, MD and E. Díaz-Calderón, MD

From the Stroke Unit (Drs. Del Brutto and Santibáñez), Department of Neurological Sciences, Hospital-Clínica Kennedy, Guayaquil; Health Center (Dr. Idrovo), Minister of Public Health, Atahualpa; Military Hospital (Dr. Mosquera), Guayaquil; Neurological Service (Drs. Navas, Santibáñez, and Díaz-Calderón), Teodoro Maldonado Carbo Hospital, Guayaquil; and Department of Neurology (Dr. Cuesta), Luis Vernaza Hospital, Guayaquil, Ecuador.

Address correspondence and reprint requests to Dr. Oscar H. Del Brutto, Air Center 3542, P.O. Box 522970, Miami, FL 33152-2970; e-mail: odbp{at}gye.satnet.net

The authors carried out a three-phase door-to-door survey in Atahualpa, Ecuador to assess epidemiologic and pathogenetic mechanisms of stroke. They found 10 stroke patients among 1,568 individuals aged ≥15 years (crude prevalence, 638 per 100,000). There was only one incident case (incidence, 64 per 100,000). Six of the 10 patients had hypertensive arteriolopathy (five with ischemic and one with hemorrhagic stroke). Additional work is needed to increase knowledge on stroke in developing countries.

Received March 26, 2004. Accepted in final form May 28, 2004.

Additional material related to this article can be found on the Neurology Web site. Go to www.neurology.org and scroll down the Table of Contents for the November 23 issue to find the title link for this article.






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