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Biomedical subjects

E J Kenton

Publications and source records attributed to E J Kenton.

5 recordsLinked to original sources
PubMed1996

Diagnosis and treatment of concomitant hypertension and stroke.

There remains nearly a twofold increase in blacks compared with whites for stroke mortality. The death rate from cerebral hemorrhage in blacks approximates twice that of whites. Subarachnoid hemorrhage is a frequent cause of mortality and morbidity in stroke and is also about twice as frequent in blacks. Lacunar strokes occur more in blacks reflecting increased incidence of hypertension and are leading causes of multi-infarct encephalopathy and dementia. Therefore, the concomitant occurrence of hypertension and stroke is most common in African Americans and requires diagnosis of the type of stroke, which then defines the rationale of blood pressure control. Cerebral vascular changes associated with acute, chronic, and reactive hypertension are operative. When to treat, when not to treat, and the appropriateness of specific antihypertensive agents in acute stroke are relevant. A common misconception is that the increased blood pressure is the cause of the stroke when it is likely the result of the stroke. Lowering the blood pressure in all acute stroke patients with elevated blood pressure may worsen the neurologic deficit. Thus, the judicious control of blood pressure is to be stressed in the concomitant occurrence of hypertension and stroke.

Antihypertensive Agents↗
PubMed1991

Access to neurological care for minorities.

Minority groups comprise a major segment of the estimated more than 34 million Americans without insurance coverage and also the underinsured. Neurologic disease and neurologic complications of the major causes of morbidity and mortality affect minorities protracted by limited access to health care. Hypertension, a major cause of stroke in the black population, is just one example of the impact of accessibility to intervention in central nervous system disease. Health statistics note the persisting gap between minority groups and the nation's norms for life expectancy. Aging America and particularly black elderly women, combined with the lagging infant mortality among minority groups, demonstrate limited access issues beyond economics, reflecting inner city mores, cultural barriers, and communication delay limiting contact with the practicing neurologist. Awareness of such access limitations to neurological care for minorities demands the attention of the practicing neurologist and the neurological societies.

Black or African American↗
PubMed1980

Generalized chorea associated with chronic subdural hematomas.

Two patients with chronic bilateral subdural hematomas developed symmetrical generalized choreiform movements. In one patient the chorea disappeared after evacuation of the hematomas, and in the other the movement improved. The latter patient has a family history of Huntington's disease.

Chorea↗