Abstract
Cerebrovascular diseases, the most frequently encountered diseases of neurology clinics, are important because they cause high morbidity and mortality rates (1). As well as being important, they are also complex diseases since they are difficult to treat and the prevision of their progression is vague (2). Doctors who are dealing with cerebrovascular diseases need to anticipate the prognosis in order to direct the treatment and to modify the expectations of the patient’s relatives. Inquiries and problems of the patients and their relatives can be guided through sound responses in the future. There are various variables defined to determine the prognosis of cerebrovascular diseases. The variables that will guide the doctor in the determination of the prognosis depending on the patients, the medical clinic, diagnostic methodology and treatment approach. The age, the gender, ethnicity, educational level, family history, elements of risk (atrial fibrillation, hypertension, hyperglycemia, atherosclerosis, vasculitis, fibrinogenemia etc.) of the patient, the family and social support, genetics and biomarkers are the variables depending on the patient. Characteristics of the lesion; localization and its extents are the variables depending on the diseas. Motor deficits, aphasia, anosognosia, dementia, urinary incontinence, presence of sleep disorder, the improvement rate of the symptoms are the variables of clinics of the stroke. Monitoring methods are the variables of diagnostics. Antiaggregant and thrombolytic treatment, cognitive therapy constitutes the variables at the treatment approaches. The rehabilitation therapy is also dealt with this review from its prognostic aspects. The cerebrovascular disease’s prognostic factors which is depending on patients were reviewed in the first episode. The studies on the stroke prognosis are compared and evaluated. Dependent variables of the disease and diagnostic factors were reviewed in the second episode of the paper.
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