[Patterns of lipid change in serum as a risk factor for ischemic brain disease].

In 34 cases of ischaemic cerebral vascular disease (24 patients with completed stroke and 10 with RIND or TIA) complex studies of serum lipids were performed. The level of total cholesterol, cholesterol HDL, phospholipids, triglycerides and apolipoprotein B was evaluated. The obtained results revealed in RIND and TIA syndrome higher values of phospholipids, apolipoprotein B and cholesterol HDL than in completed ischaemic stroke. However the differences were not great enough, draw conclusions about the dynamics of changes in course of progress of the ischaemic cerebral vascular disease. In allmost all cases of completed stroke and in RIND or TIA syndrome a drop of cholesterol HDL was found. Other deviations of lipid level were noticed only in few cases. Notwithstanding the significance of other than hyperlipidemia risk factors, especially of elevated blood pressure, it seems reasonable to start adequate treatment when in patient with RIND or TIA abnormal values of serum lipids are found.