Title: A study of acute stroke syndromes in patients of type 2 diabetes mellitus in a tertiary care hospital in south Rajasthan - A cross sectional observational study
Authors: Dr Sourav Chattopadhyay, Dr Parv Rasiklal Raiyani
DOI: https://dx.doi.org/10.18535/jmscr/v12i06.08
Abstract
Introduction
Stroke is one of the leading causes of death and long term disability in India. Stroke is an important cause of premature death and disability in low- income and middle-income countries like India, largely driven by demographic changes and enhanced by the increasing prevalence of the key modifiable risk factors.
Among all the neurological diseases of adult life, cerebrovascular accidents clearly ranks first in frequency of importance. Almost fifty percent of neurological diseases in general hospital are due to stroke.
Cerebrovascular accident includes ischemic stroke, hemorrhagic stroke, and cerebrovascular anomalies such as intracranial aneurysm, AV malformation and cortical venous thrombosis. Stroke after heart disease, is the second most common cause of death among non-communicable diseases.[1] With the introduction of effective treatment for hypertension, there has been a marked reduction in the frequency of stroke.
Diabetes mellitus by virtue of its association with micro vascular and macrovascular disease is an important risk factor in the genesis of stroke.[2]
Most of the diabetic patients with stroke have raised glycosylated hemoglobin indicating that most of them have uncontrolled diabetes.
Diabetics have severe strokes resulting in poor outcome. Stroke is Twice more common in diabetics than in non diabetics.[3]
Hypertension is common in diabetes and accelerates atherosclerosis which promotes intracranial small vessel disease and heart disease leading to lacunar and embolic infarction respectively. There are several risk factors that determine the outcome of stroke.
