[인사이트 인터뷰] #18 ‘뇌졸중’ 서울아산병원 뇌졸중센터 김종성

의학채널 비온뒤

의학채널 비온뒤

777,060 views

It is time for the Insight Interview at the Beondwi Jeju Studio, where we listen to the insights of a master.

In the 18th "Hong Hye-geol’s Insight Interview," we will be discussing "stroke" with Professor Kim Jong-sung of Asan Medical Center.

If you have any questions regarding stroke, please ask them via the live broadcast.

“The Insight Interview is produced with the sponsorship of Esther Formula.”

Go to Esther Mall ☞ esthermall.co.kr

Contact: Lee Jeong-ho, Gu Sang-bon

#Stroke #StrokeDisease #StrokeTreatment

00:00 Start

00:07 Greetings

04:00 What field do you take pride in having contributed the most to?

07:12 Can Koreans get a stroke even if there are no abnormalities on carotid artery ultrasound?

08:25 You are saying that unlike Westerners, the intracranial arteries in Asians tend to narrow or become blocked. Why is that? 12:20 Are you saying that intracranial arteriosclerosis cannot be detected by ultrasound? Then how can it be identified?

13:28 Could you point out some risk factors?

14:05 In terms of the overall stroke prognosis, which is better: intracranial arteriosclerosis or carotid artery disease?

14:40 Is cholesterol not as strong an impact on stroke as high blood pressure or diabetes?

17:20 Does cholesterol protect blood vessels in intracranial arteries?

18:44 Are you saying that blood pressure (the single most dangerous factor) is more important than cholesterol for stroke? How low should blood pressure be lowered?

20:05 I understand that high blood pressure causes blood vessels to rupture, but why is a blockage considered bad?

21:18 Do those currently taking blood pressure medication have to take it for the rest of their lives? 24:35 I understand that coronary artery disease is primarily treated with interventional procedures in cardiology and surgery in thoracic surgery. However, I understand that cerebral aneurysms, a type of cerebrovascular disease, are mainly treated with surgery in neurosurgery or through interventional procedures (coil embolization) in collaboration with radiology. Cardiology and neurology seem to hold similar positions, so why do neurologists often not perform interventional procedures?

27:03 My blood pressure was around 90/60 when I was young without any other issues, but it rose to 110/70 starting in my 30s. Even if it is currently within the normal range, should I be more careful since it has become higher than my blood pressure in my 20s?

29:25 Please recommend a few books related to the brain.

34:14 Is taking aspirin important for cerebrovascular disease?

36:25 I had a subarachnoid procedure two years ago and am currently taking aspirin. Do I have to take it for the rest of my life? I am wondering if I should be careful about stomach side effects.

39:32 Hello, Doctor. My siblings and I inherited muscular dystrophy from our parents. Three out of five siblings have pacemakers implanted. Three of them suffered from strokes, and two of them passed away. I, Hunja, have been suffering from a stroke for four years. The test results indicate the diagnosis is Emery Dreyfus. Doctor, I would like to know if this disease can cause a stroke.

40:30 Doctor, there is a huge difference between my systolic and diastolic blood pressure readings, such as 130-65.

43:40 Many famous people have suffered greatly from strokes before passing away. What do you think about the claim that a stroke is a very difficult disease? Is there any truth to it?

47:20 Please explain the procedure, one of the two key treatments.

49:24 tPA?

52:00 How quickly and where should I go to receive treatment? 53:10 Where should I go to get a thrombectomy?

54:14 I heard the success rate of the procedure is high; how long does it take?

56:10 What are the signs that indicate someone is about to have a stroke?

57:55 Detailed explanation of stroke symptoms

58:35 What are some symptoms that we might miss?

1:01:20 A procedure to widen the carotid artery is sometimes performed as a preventive measure.

1:02:55 Is there any emergency treatment we should perform when transporting an emergency patient?

1:05:30 The patient has an arteriosclerosis measuring 0.2 to 0.3 millimeters. They frequently experience dizziness, and a symptom where one eye looks foggy disappears after more than 30 minutes. Could this be a symptom of a stroke?????

1:09:35 French movie ‘The Diving Bell and the Butterfly’

1:14:50 Brain = Human Mind? 1:19:35 My wife underwent overnight brain hemorrhage surgery a year ago and had a second surgery the next day. However, she currently has no disabilities and her mental state is exactly the same as before. Is it possible for cases like this to occur?

1:20:10 Aftereffects of a stroke

1:22:40 Did a person who suffered a stroke develop a strange personality? Does it improve with treatment? (Emotional Disorders)

1:25:05 How can I maintain a healthy brain?

1:26:20 What should I do to become an emotionally charming person?

1:27:20 I am a patient with Moyamoya disease. I had ...