Acta Neurochirurgica

, Volume 64, Issue 1–2, pp 1–7 | Cite as

Smoking and the risk of a stroke

  • B. A. Bell
  • J. Ambrose


A restrospective study has been undertaken of 236 men and women with a stroke investigated by computed tomography and, where indicated, cerebral angiography. An excess of cigarette smokers has been found where the stroke was the result of ischaemia. Results indicate that continued smoking increases the risk of sustaining cerebral infarction by a factor of 1.9 for men and 2.4 for women. Smoking does not appear to be a risk factor in primary intracerebral haemorrhage, unlike subarachnoid haemorrhage where smokers carry a relative risk approaching four times that of non-smokers.


Public Health Compute Tomography Relative Risk Cigarette Smoker Interventional Radiology 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Ambrose, J., Computerized transverse axial scanning (tomography): Part 2. Clinical application. Brit. J. Radiol.46 (1973), 1023–1047.PubMedGoogle Scholar
  2. Barnett, H. J. M., Stroke prevention. Proceedings of international symposium on cerebrovascular diseases, 1981, Gardone Riviera, July 2–4. Amsterdam: Elsevier/ North Holland Biomedical Press.Google Scholar
  3. Bell, B. A., Symon, L., Smoking and subarachnoid haemorrhage. Brit. Med. J.1 (1979), 577–578.PubMedGoogle Scholar
  4. Davis, K. R., Taveras, J. M., New, P. F. J., Schnur, J. A., Roberson, G. H., Cerebral infarction: diagnosis by computerized tomography. Amer. J. Radiol.124 (1975), 643–660.Google Scholar
  5. Du Boulay, E. P. G. H., Marshall, J., Comparison of EMI and radioisotope imaging in neurological disease. Lancet2 (1975), 1294–1297.PubMedGoogle Scholar
  6. Duncan, G. W., Lees, R. S., Ojemann, R. G., David, S. S., Concomitants of atherosclerotic carotid artery stenosis. Stroke8 (1977), 665–668.PubMedGoogle Scholar
  7. Greenhalgh, R. M., Mills, S. P., Taylor, G. W., Risk factors in carotid artery stenosis and intracranial aneurysms. In: Cerebrovascular disease: Progress in stroke research, pp. 15–27. London: Pitman Medical. 1979.Google Scholar
  8. Hayward, R. D., O'Reilly, G. V. A., Intracerebral haemorrhage. Accuracy of computerized transverse axial scanning in predicting the underlying aetiology. Lancet1 (1976), 1–4.PubMedGoogle Scholar
  9. Herman, B., Schulte, B. P. M., van Luijk, J. H., Leyten, A. C. M., Frenken, C. W. G. M., Epidemiology of stroke in Tilburg, the Netherlands. The population-based stroke incidence register: 1. Introduction and preliminary results. Stroke11 (1980), 162–165.PubMedGoogle Scholar
  10. Hounsfield, G. N., Computerized transverse axial scanning (tomography): Part 1. Description of system. Brit. J. Radiol.46 (1973), 1016–1022.PubMedGoogle Scholar
  11. Kagan, A., Popper, J. S., Rhoads, G. G., Factors related to stroke incidence in Hawaii Japanese men: The Honolulu heart study. Stroke11 (1980), 14–21.PubMedGoogle Scholar
  12. Kannel, W. B., Dawber, T. R., McNamara, P. M., Vascular disease of the brainepidemiological aspects: The Framingham study. Amer. J. Public Health44 (1965), 1355–1366.Google Scholar
  13. Kannel, W. B., Current status of the epidemiology of brain infarction associated with occlusive arterial disease. Stroke2 (1971), 295–318.PubMedGoogle Scholar
  14. Kannel, W. B., Gordon, T., Dawber, T. R., Role of lipids in the development of brain infarction. The Framingham study. Stroke5 (1974), 679–685.PubMedGoogle Scholar
  15. Lee, P. N., Statistics of smoking in the U.K., Table 9, Research paper 1, Tobacco Research Council, 1976, London, 7th ed., p. 30.Google Scholar
  16. Petitti, D. B., Wingerd, J., Use of oral contraceptives, cigarette smoking, and risk of subarachnoid haemorrhage. Lancet2 (1978), 234–236.PubMedGoogle Scholar
  17. Royal College of Physicians of London, Smoking or Health, Third Report, p. 17. London: Pitman Medical. 1977.Google Scholar

Copyright information

© Springer-Verlag 1982

Authors and Affiliations

  • B. A. Bell
    • 1
  • J. Ambrose
    • 1
  1. 1.Department of NeurosurgeryAtkinson Morley's HospitalLondonEngland

Personalised recommendations