A study on CVA and its clinical correlation with CT scan brain findings
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2017, Vol 22, Issue 3
Abstract
Background: Stroke/CVA is an abrupt onset of neurological deficit due to focal vascular cause, and it needs both clinical and laboratory studies including brain imaging for diagnosis. The clinical manifestations of stroke are highly variable because of complex anatomy of brain and its vasculature. Early diagnosis and treatment is necessary to prevent mortality and morbidity. CT plays a major role in CVA to assess the site, size, nature of the lesion. Aim: This study was conducted to correlate clinical features with CT brain findings in CVA. Methods: This is a hospital based prospective study done in department of general medicine, Katuri Medical College and Hospital, Guntur, Andhra Pradesh. In 102 CVA patients admitted in the hospital between November 2014 to October 2016. All the subjects were thoroughly examined clinically to find the features suggestive of the lesion. Then the patients were subjected to basic lab investigations like Urine analysis, blood urea, serum creatinine, blood sugar levels, serum electrolytes, lipid profile and 12 lead ECG,2D Echo, CT brain. Results: Out of 102 patients 62 were males and 40 were females.86 showed lesion( positive CT) in the CT scan, either infarct or haemorrhage and in 16 patients CT scan was normal(negative CT).Out of 102 cases,clinically,77 cases presented as infarcts and 25 cases presented as haemorrhage. On CT Scan, 62 cases had infarcts (60.7%), 24 cases had haemorrhages (23.5%) and 16 cases showed normal CT findings(15.6%). Conclusion: Various clinical aspects in CVA do not correlate exactly with CT Scan findings in all cases, hence both thorough clinical examination and CT Scan brain are mandatory.
Authors and Affiliations
Ranga Raja Rao Midde, Durga Prasad Sadupati, Adarsh Ande
Keywords
Related Articles
- EP ID EP495053
- DOI -
- Views 102
- Downloads 0
Chronic Suppurative Otitis Media - Empiric Quinolones in Adults
Objective: The aim of the study was to determine the most prevalent organisms in chronic otitis media in adults and their susceptibility to various antimicrobials so that an appropriate empiric antibiotic can be started...
Effect of Different Plant Extracts Against the Structural Pest
Fungi are important group of microorganisms that are responsible for various plant and animal diseases .Fungal pathogens like Fusarium monoliformae, Fusarium solani and Alternaria alternata are pathogenic to many economi...
Role of ionized calcium in critically ill patients
Background: Ionized calcium (iCa) is the calcium that is present in the blood in a free form and not attached to proteins. It is the physiologically active form of calcium. Abnormalities of ionized calcium concentration...
A Descriptive Study of Sacral Fractures Reported at Tertiary Care Institute
Introduction: Sacral fractures are commonly associated with pelvic ring fractures due to high-energy mechanisms of injury. There are very few long-term studies of pelvic fractures worldwide documenting the behavior of th...
Comparative Study of Serum Calcium, Magnesium and Zinc Levels in Preeclampsia and Normal Pregnancy
The study of serum calcium, magnesium and zinc in preeclampsia proposes the value these biomarkers as indicators in the etiopathogenesis and accessing severity of preeclampsia. Serum levels of calcium, magnesium and zinc...