Abstract
Background: Cerebrovascular accident or Stroke is the leading cause of morbidity and mortality in adults. Ischemic stroke is the commonest type of stroke found across the world. The clinical presentation may vary depending on the site of involvement and major etiological factors identified showed hypertension, dyslipidemia, and smoking. We in the present study tried to evaluate the profile of patients with cerebrovascular stroke in a tertiary care hospital.
Methods: This prospective cross-sectional study was conducted in the Department of General Medicine, Govt. Medical College and Hospital Nalgonda. During the study period, n=50 patients were studied based on the inclusion and exclusion criteria. A detailed general examination was carried out. A comprehensive Neurological examination including fundoscopy was done. The patients were subjected to CT scanning and other biochemical investigations.
Results: During the study period n=50 patients were studied based on the inclusion and exclusion criteria Out of n=50 patients n=32 (64%) were male and n=18(36%) were female patients. The major risk factors for Cerebrovascular stroke appears to be Hypertension with n=32(64%). 80% of patients presented with the features of motor weakness that included hemiplegia/hemiparesis. Among them, 58% were right-sided weakness and 42% were with left-sided weakness. N=25(50%) of patients with speech involvement that included dysarthria and aphasia. ischemic infarct was commonly found in the parietal region (33.33%), hemorrhagic infarct was found more frequently in the parietal region & basal ganglia in 21.43%.
Conclusion: This study concluded that ischemic stroke is one of the common than hemorrhagic stroke. Age and male sex are non-modifiable risk factors for cerebrovascular stroke. The modifiable risk factors are hypertension, diabetes mellitus, and hyperlipidemia. Therefore the early diagnosis of blood pressure and its strict control can reduce the burden of stroke in this group of population.
Keywords: cerebrovascular stroke, Risk Factors, clinical profile.
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Corresponding Author
Dr Tirupati Reddy Chirra
Associate Professors, General Medicine, Government Medical college, Nalgonda, Telangana
DOI: https://dx.doi.org/10.18535/jmscr/v7i11.70
