S-Space College of Medicine/School of Medicine (의과대학/대학원) Dept. of Medicine (의학과) The Seoul Journal of Medicine The Seoul Journal of Medicine Vol. 31 No.4 (1990)
An Analysis of the Neurological Consultations in Seoul National University Hospital - An Analysis of 1115 Cases-
서울대학교병원 신경과 자문예에 대한 임상적 고찰 -1.115예
- Roh, Jae-Kyu; Hong, Seung-Bong
- Issue Date
- Seoul J Med, Vol.31 No.4, pp. 263-271
- We reviewed 1,115 neurologic consultations from March 1989 to February
1990 in Seoul National University Hospital, which comprised 4 percent of all admitted
adult patients. The average age of the cases was 51 years. Internal medicine was the
requesting service in more than half of the cases, but the rate of consultation in each
service was the highest in psychiatry and thoracic surgery.
Weakness of the extremities was the most common reason for consultation. The cases
diagnosed as ischemic cerebrovascular disease were 22.9 percent. It must be reemphasized
to control stroke-prone factors. Determining the underlying causes of impaired consciousness
posed a special diagnostic problem. Metabolic encephalopathy was its leading
Iatrogenic neurologic conditions were found in 10 percent of patients. The most common
antecedents were cardiac surgery and the side effects of drugs.
These findings indicate the need for improved surveillance of neurologic problems
in hospitals, earlier recognition of neurologic dysfunction, research into its mechanism,
and additional education about the prevention of iatrogenic misfortune.