A study on CT correlation with prognosis in stroke
Journal Title: Medpulse International Journal of Radiology - Year 2017, Vol 4, Issue 2
Abstract
Background: The imaging work up of patient with acute neurologic deficits should begin with Non contrast CT to exclude intracerebral hemorrhages. Early computed tomography signs of stroke signify major arterial occlusion, with hyperdense MCA sign being the most predictive of a MCA occlusion. Computed tomography will differentiate infarct from hemorrhage up to at least five days after stroke. Recent hemorrhages are of high density and usually rounded and space occupying a vascular territory with some swelling. Methodology: All the patients admitted in with a clinical diagnosis of stroke in the acute medical care unit or emergency medicine department were included in this study, and formed our study material. All the patients underwent a CT study of the brain on admission. Contrast is administered only in few cases. Other relevant laboratory and special investigations were done as deemed necessary. Results: In majority of the cases, hypodensity of brain parenchyma and sulcal effacement was present accounting 92.30% and 57.69% of 52 infarct cases respectively. Hyperdense MCA artery sign was present only in 1 case. Conclusion: Hypodensity of lentiform nucleus and mass effect (edema) were present in only 8 patients .In minority of patients multiple CT signs of ischemia were present
Authors and Affiliations
Sadashiv Gowda H, Ravindranath Reddy
Keywords
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- EP ID EP533783
- DOI 10.26611/1013422
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