AN ANALYSIS OF LATERALITY IN ACUTE ARTERIAL STROKE AND ITS ASSOCIATIONS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 55
Abstract
BACKGROUND Stroke is defined as a sudden loss of brain function caused by a decreased cerebral blood flow. The objective of this study was to find out the association between laterality of stroke and age group, gender, type of stroke and anatomical site. MATERIALS AND METHODS A retrospective descriptive study was designed to collect the reports of consecutive cranial computerised tomography (CT) scan taken over a period of seven months commencing from September 2016. The details of patients’ age, gender, stroke type, anatomical site and laterality of acute arterial stroke were entered in Excel spread sheet and analysed statistically using Chi square test with Yates’ correction. RESULTS Among 2,020 cranial CT scans, only 182 satisfied the eligibility criteria of stroke and thus the prevalence of acute arterial stroke was 9% among the study population. The ratio between non-haemorrhagic and haemorrhagic stroke was 5.7:1. Of the 155 nonhaemorrhagic strokes, 77 (49.6%) belonged to middle cerebral, 38 (24.5%) to posterior cerebral and two (1.2%) to anterior cerebral artery territory. The anatomical location of haemorrhage was significantly more in striatum (44.4%) among the study group and it was followed by lobar (22.2%), thalamus (18.5%), cerebellum (7.4%), pons (3.7%) and interventricular sites (3.7%). Bilateral lesions were noticed among 14.8% of non-haemorrhagic infarcts but none in haemorrhagic infarcts. CONCLUSION Overall right-sided lesions were noticed significantly more among males of all age groups among the non-haemorrhagic stroke cases, whereas there was no preferential laterality in haemorrhagic group.
Authors and Affiliations
Kumar Venkatesh, Guru T Arun, Gurudatta S Pawar, Ponniah Thirumalaikolundusubramanian
Keywords
Related Articles
- EP ID EP225881
- DOI 10.14260/Jemds/2017/894
- Views 103
- Downloads 0
NEUTROPHIL-TO-LYMPHOCYTE RATIO AS A MARKER OF ACUTE EXACERBATION AND DISEASE SEVERITY IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE
BACKGROUND Chronic Obstructive Pulmonary Disease (COPD) is a preventable and treatable disease, which consists of constant expiratory limitation of the flow of air which is not fully reversible. Neutrophil-to-Lymphocyte...
VARIATIONS OF MUSCLE PLANTARIS: ANATOMICAL AND CLINICAL IMPLICATIONS
AIMS AND OBJECTIVES Plantaris is a small fusiform muscle with a long tendon, in the superficial group of flexors of the posterior compartment of leg. Though considered as a vestigial muscle, plantaris is of much...
A STUDY TO DETERMINE PSYCHOPATHOLOGY, PSYCHIATRIC MORBIDITY AND TEMPERAMENT IN EPILEPTIC CHILDREN
BACKGROUND Children with epilepsy are at increased risk for behavioural problems compared to the general population or control groups. A study of psychopathology, psychiatric morbidity and temperament in children sufferi...
DETECTION OF MBL PRODUCTION IN PSEUDOMONAS AERUGINOSA IN KATIHAR DISTRICT, BIHAR
BACKGROUND Pseudomonas aeruginosa is a leading cause of nosocomial infection due to its numerous intrinsic and acquired mechanisms of drug resistance. Although antibiotic resistance in P. aeruginosa is caused by multiple...
EFFICIENCY OF TOPICAL PHENYTOIN ON HEALING IN DIABETIC ULCER: A RANDOMIZED CONTROL TRIAL
Diabetic foot ulcers are the major complication of diabetes mellitus; 15% of diabetic people suffer from foot ulcers. Phenytoin is used as a topical application in many studies on diabetic foot ulcers and it is f...