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Yeungnam Univ J Med > Volume 11(1); 1994 > Article
Yeungnam University Journal of Medicine 1994;11(1):63-71.
DOI: https://doi.org/10.12701/yujm.1994.11.1.63    Published online June 30, 1994.
Significance of Dexamethasone Suppression Test in Patients with Stroke.
Wook Nyeon Kim, Seong Min Kim, Byung Soo Kee, Mee Yeong Park, Jung Sang Hah, Yeung Ju Byun
Abstract
The purpose of this study was to evaluate the effect of stroke on hypothalamic-pituitary axis using dexamethasone suppression test. The effects were evaluated according to age, sex, type, size, and lesion site of stroke. There tests were performed in 62 patients with stroke(cerebral infarction, 42 cases : intracerebral hemorrage, 20 cases) and 21 disabled controlled patients without intracranial diseases at Yeungnam University Hospital from June 1992 to June 1993. The results summarized as follows. 1. Cerebral infarction showed significantly higher frequency of DST non-suppression in stroke patients than control (p<0.05). 2. Patients with left hemisphere stroke showed more frequent abnormal neuroendocrine test results (p<0.01). 3. Patients with large infarction revealed strongly non-suppressed DST results(p<0.01). 4. Significantly higher basal cortisol level in patients with cerebral infarction was noted(p<0.01). 5. There are no statistical significance between DST results and sex, age, motor impairment, type of cerebral infarction.


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