CT SCAN FINDINGS AND RISK FACTORS IN PATIENTS PRESENTING WITH STROKE

Nisar Khan, Habibullah Khan, Nowshad Khan

Abstract


Background: Cerebrovascular accident or stroke is one of the three leading causes of death globally. Differentiation
between cerebral infarction and haemorrhage is important because management depends on the correct
diagnosis. There are many risk factor which predispose a person to stroke. The objective of this study was to
know the frequency of cereberal haemorrhage and infarction in stroke patients and to know the risk factors for
stroke in our community.
Material & Methods: This descriptive study was conducted on 47 patients of stroke admitted at DHQ Teaching
Hospital, D.I.Khan, Pakistan, from November 2011 to April 2012. Patients of any age who developed focal
neurological event lasting more than 24 hours, due to vascular event in the brain were included. Those with any
other cause for focal neurological deficit were excluded. The data was collected on proforma and descriptive
statistics applied to analyze the data.
Results: The mean age of patients was 54.5+9.66 years with a range of 17-75 years. Out of 47 patients 21
were males and 26 females. CT scan of brain showed 26(55.31%) cases of cerebral infarction and 21(44.68%)
intracranial haemorrhage. Regarding risk factors, 37 patients were hypertensive, 9 had ischemic heart disease
and 6 had diabetes mellitus.
Conclusion: In our study, among patients with stroke, 45% were having intracranial haemorrhage, while 55%
cerebral infarction. Hypertension was the most common risk factor, followed by ischemic heart diseases and
diabetes mellitus.

Keywords


CT scan; Stroke; Hypertension; Ischemic heart disease; Diabetes mellitus

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References


Viroslar AB, Hoffman JC Jr. The use of C.T in the diagnosis of stroke. Heart dis Stroke 2009; 2:299-307.

The top 10 causes of death. WHO.http://who.int/mediacentre/factsheets/fs310/en/ accessed on26 Dec 2013.

Feign VL, Forouzanfar MH, Krishnamurthi R,Mensah GA, Connor M, Bennett DA, et al. Globaland regional burden of stroke during 1990–2010:

findings from the Global Burden of Disease Study 2010. The Lancet, Early Online Publication, 24 October 2013.doi:10.1016/S0140-6736(13)61953-4.

Cassidy TP, Lewis S, Gray CS. Computerized tomography and stroke. Scott Med J 2010; 38:136-8.

Kim JS, Lee JH, Lee MC. Small primary intrace-rebralhaemorrhage, clinical presentation of 28 cases. Stroke 2007; 25: 1500-6.

Harison MJG. Clinical distinction of cerebral haemorrhage and cerebral infarction. Postgard Med J 1999; 56: 436-56.

Stevens JM, Barber CJ, Kersslake R. Extended use of cranial C.T. in the evaluation of patients with stroke and TIAs. Neuroradialogy 2007; 33:200-6.

Sandercock P, Bamford J, Dennis M, Burn J, Slattery J, Jones L, et al. Atrial fibrillation and stroke; prevalence in different type of stroke and

influence on early and long term prognosis (Oxfordshire Community Stroke Project). BMJ 1992; 305: 1460-5.

Wolf PA. Atrial fibrillation as an independent risk factor for stroke, the Framingham study. Stroke 2008; 22: 983.

Feldmann E, Gordon N, Brooks JM. Factor associated with early presentation of acute stroke. Stroke 2007; 24: 1805-10.

Daga MK, Sarin K, Negi VS. Comparison of siriraj and Guys Hospital score to differentiate supratentorial ischemic and haemorrhagic stroke in

the Indian population. J Assoc Physicians India 1994; 42: 302-3.

Viriyavejakul A, Pourigvarin N. Internal medicine patient: an analysis of incidence and mortality rate of 27325 admissions. Siriraj Hospital Gazette

; 34: 501-10.

Marwat MA, Usman M, Hussain M. Stroke and its relationship to risk factors. Gomal J Med Sci 2009; 7: 17-21.

Thacker AK, Radha Krishnan K, Maloo JG. Clinical and CT analysis of intracerebral haemorrhage. J Assoc Physicians India 1998; 39: 317-9.


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