Study of Cerebrovascular Accident in Relation to Clinical Correlation with Findings of CT Scan Brain
Journal Title: International Journal of Neurology and Neurosurgery - Year 2019, Vol 11, Issue 1
Abstract
WHO defined stroke as “rapidly developing clinical symptoms and or signs of focal and at times global loss of brain function with symptoms lasting more than 24 hours or leading to death, with no apparent cause other than that of vascular origin”. Stroke is considered to be second commonest cause of death worldwide. CT imaging of the brain is the standard and plays a major role in CVA,to assess the site, size and nature of the lesion. Though MRI is superior to CT scan, the higher cost of MRI and easy availability of CT scan brain makes CT the commonest investigation in diagnosis and treatment of stroke. Aims and Objectives : 1. To correlate the nature of lesion based on the clinical grounds and CT scan brain findings. 2. To correlate the site and size of lesion based on the clinical grounds and CT scan brain findings. Material and Methods: This study was done in the department of General Medicine at Rajarajeswari Medical College and Hospital. Fifty patients presenting with Acute stroke (according to WHO definition) admitted to medical wards were considered for the study for a duration of one year. This was a cross sectional study. Results: Out of 50 cases studied, 17 (34%) patients had hemorrhagic stroke and 33 (66%) patients had ischemic stroke. Out of 50 cases studied, 33 patients had ischemic stroke clinically, but 29 patients had ischemic changes on CT scan brain. 17 patients had haemorrhagic stroke clinically but 16 had haemorrhage on CT scan brain. 5 patients had stroke clinically, but CT scan brain was normal in them. Out of 50 cases 8 (16%) had altered sensorium, 14 (28%) had speech defect, 43 (86%) had hemiplegia, 10 (20%) had headache, 2 (4%) had seizures, 12 (24%) had facial nerve palsy, 1 (2%) had cerebellar signs and 6 (12%) had brain stem signs.
Authors and Affiliations
Rekha NH
Keywords
Related Articles
- EP ID EP653380
- DOI 10.21088/ijnns.0975.0223.11119.11
- Views 75
- Downloads 0
Isolated Sacral Nerve Root Ependymoma
Ependymomas commonly arise from conus medullaris, cauda equina and filum terminale. Ependymoma involving single nerve root is rare. We report a case of young male with disabling low back pain without motor- sensory defic...
The Hidden Hematoma of the Head: Analysis of Vertex EDHs and their Outcome
Context: The skull vertex is an uncommon site for epidural hematoma (EDH) formation. The usual cause of a hematoma is a tear in the sagittal sinus due to trauma or saggital suture diastasis. Vertex EDH, even of small vol...
Fractional Anisotropy and Apparent Diffusion Coefficient values on Diffusor Tensor Imaging in Parkinson’s Disease: A case-control study
Introduction: Recent evidence is shedding insights into the functional alterations in the sensorimotor, visual and basal ganglia networks in Parkinson’s Disease (PD) patients. We evaluated the Functional Anisotropy (FA)...
Unilateral Cerebellar Aplasia in Adult–A Rare Incidental Finding
Unilateral cerebellar aplasia is a very rare developmental disorder usually most commonly seen in children after a prenatal insult. It hasmultifarious clinical presentations ranging from development delay to ataxia and c...
Restless Legs Syndrome as an Early Neurological Manifestation of Vitamin B12 Deficiency
Background: Current hypotheses on pathophysiology of restless legs syndrome (RLS) implicate iron as a cofactor in dopamine synthesis. Vitamin B12 also plays an important role in dopamine synthesis, but its role in the pa...