Title: Clinico-Radiological Profile of Stroke in Relation to Different Anatomical Sites: A Hospital Record Based Study
Authors: Kali Prasanna Swain, Manoj Kumar Naik, Dharma Niranjan Mishra
DOI: https://dx.doi.org/10.18535/jmscr/v5i8.99
Abstract
Background: Stroke or cerebrovascular accident (CVA) is the leading causes of morbidity and mortality in adult life. It is coming next to coronary heart disease and cancer as 3rd leading cause of death. The aim of this study is to evaluate the clinical presentation, risk factor and common anatomical site of brain in strokes patients.
Methods: This is a record based study taking 137 patients managed for stroke from July 2016 to December 2016. Computerised tomography (CT scan) was done in all patients.
Results: Out of 137 patients of cerebrovascular stroke, 86 are male & 51 female ranges from 26 years to 91 years with mean age is being (67±15.6) years. The male to female ratio is being 1.7:1. The cerebrovascular strokes are more common in males (62.7%) than females (37.3%). Most common age group is 61-70 years (37.3%) and the commonest clinical feature is hemiplegia (72.2%) followed by speech involvement (37.9%). Maximum cases presented with hypertension (57.7%) followed by dyslipidemia (23.4%). Ischemic stroke (70%) is higher than hemorrhagic (30%). most common site of hemorrhage is basal ganglia (43.9%) followed by thalamus (14.6%), both ventricular and cerebellar constitute 9.7% each. The most common site of infarction was parietal (41.7%), followed by basal ganglia (16.7%) and frontal (12.5%).
Conclusions: The cerebrovascular stroke is having hypertensive male predominance and the common clinical presentation is being hemiplegia followed by speech involvement which is more common compare to other studies.
Abbreviations: CVA- Cerebro Vascular Accident.
Keywords: CVA, Ischemic stroke, Hemorrhagic stroke.
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