Clinico-radiological Profile of Stroke in Western Nepal
Journal Title: Journal of Lumbini Medical College - Year 2016, Vol 4, Issue 2
Abstract
Introduction: Stroke is a major public health burden worldwide and is responsible for a large proportion of disability. It ranks third in the causation of morbidity and mortality. This study was carried out to establish the pattern of various types of cerebrovascular accident (CVA) in western Nepal, to correlate the clinical data and radiological findings in cases of stroke, and to identify the common risk factors associated with stroke. Methods: A total of 200 patients presented at the department of Radiodiagnosis from emergency or ward within six months of study period from 18th of September 2015 to 17th of March 2016 with clinical diagnosis of stroke. Brain CT scan was done within 14 days of onset. Results: There were 200 patients with stroke (124 males and 76 females), aged 19 to 92 years in which infarction was more common than hemorrhage (57% Vs 41.5%) clinically. Hypertension was the commonest risk factor noted in 59% cases followed by Diabetes Mellitus in 39%. Middle cerebral artery (MCA) territory infarction was the most common site of infarction. Clinical and CT localization of hemorrhage and infarct was correct in 153 cases (75%) which was statistically significant. Conclusion: Infarction is more common than hemorrhage as the type of stroke. Hypertension is the commonest risk factor followed by diabetes mellitus.
Authors and Affiliations
Sumnima Acharya, Awadesh Tiwari, Raju Shakya
Keywords
Related Articles
- EP ID EP176442
- DOI 10.22502/jlmc.v4i2.91
- Views 108
- Downloads 0
Maternal Mortality and Associated Factors in a Tertiary Care Center of Western Nepal
Introduction: Identifying the cause of maternal death is important. The aim of this study was to determine the causes of maternal deaths and the factors associated with it. Methods: This was an observational, cross-sect...
Status of Scar in Repeat Cesarean Section in a Tertiary Hospital
Introduction: In modern Obstetrics, with rising trends of primary Cesarean section (CS) for fetal and maternal interests, pregnancy over the scarred uterus is a challenge to all treating obstetricians. How better the ces...
Effectiveness of Same-Day Human Ear Wax Removal as an Office Procedure and Factors Associated with its Successful Removal
Introduction: There are various methods of ear wax extraction and there are no specific guidelines on this subject. Many times we ask patients to instil some wax softening product for a few days and revisit for wax remov...
Comparison of Pethidine and Tramadol for Control of Shivering in Patients undergoing Elective Surgery under Spinal Anesthesia
Introduction: Shivering is a common problem faced by an anesthesiologist during intraoperative as well as in postoperative period, specially after sub-arachnoid block (SAB). It is unpleasant and undesirable and is second...
Nutritional Assessment of Under Five Children Attending Pediatric Clinic in a Tertiary Care Hospital in the Capital of Nepal
Introduction: There has been a decreasing trend in malnutrition (stunting, wasting, and under-weight) in Nepal from 2001 till 2016 according to Nepal demographic health survey 2016. We tried to study whether these nation...