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    Relationship of the lunar cycle and seasonality with stroke
    (Asean Neurological Assoc, 2021) Altunisik, Erman; Guntel, Murat; Yavuz, Erdal; Arik, Ali
    Background & Objective: Stroke is one of the leading causes of death. It is also one of the most important factors of long-term disability. We aimed to reveal the relationship of the lunar cycle and seasonality with stroke characteristics. Methods: Data, including the demographic characteristics of the patients, stroke types, stroke severity, etiological factors, accompanying diseases, intensive care needs, and mortality rate were evaluated, recorded, and compared according to seasonality and lunar phases. Results: The study included 538 patients. The stroke type of 468 patients was ischemic. The stroke severity of 231 patients was determined as minor. The ischemic stroke rate was higher in winter than in spring and summer. In spring, the rate of severe stroke was lower than in summer and winter. Posterior system strokes were found at a higher rate in the summer months. During the winter months, middle cerebral artery infarctions were detected more frequently. The intensive care needs of the patients were observed mostly in summer and winter in ischemic stroke patients. When the National Institutes of Health Stroke Scale (NIHSS) scores were compared according to season, no significant difference was found between the groups. There was also no significant difference in gender, age, stroke severity, involved arterial system, etiology, and NIHSS score according to moon phases. But the transient ischemic attack (HA) rate was higher in the full moon than in the last quarter moon. Conclusion: Seasonal variations may affect ischemic stroke characteristics, such as type, severity and involved arterial system, but in our study, the lunar cycle was not found related to the investigated features.

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