A retrospective study of risk factors and clinical profile of acute stroke

 

Sunil Tukaram Kotkunde¹, Nitin Dnyandev Kesarkar^2*

 

Abstract              Background: Stroke is a devastating and disabling cerebrovascular disease with significant amount of residual deficit leading on to economic loss. It has been defined as a rapidly developing signs of focal (or global) disturbance of cerebral function with symptoms lasting for ≥24 hours, or leading to death with no apparent cause other than vascular origin. Materials and methods: This is a retrospective study of 238 cases managed for stroke in the medical ward of B.K.L. Walavalkar Rural Medical College from January 2018 to December 2018. The case notes of the pts were retrieved from the medical department of the hospital and relevant data extracted and analyzed. We have only CT scan machine in house, for MRI we have to send pts to higher centers.   Results: The cerebrovascular strokes are more common in males (59.7%) than females (40.3%). Most common age group was 61-70 years (32.8%). Most common clinical feature was hemiplegia (72.6%). Most common risk factor was Hypertension (34%) followed by past h/o cerebrovascular stroke (15%), smoking (14%), dyslipidemia (13%). Most common type of stroke was ischemic (74.6%) and hemorrhagic was 2nd (22.9%). In ischemic stroke most common involved areas were parietal (33.7%), frontal (16.7%). In hemorrhagic stroke most common site was thalamus (24.7%) followed by ventricular (17.5%). Conclusion: The cerebrovascular stroke cases were having male predominance with Hypertension was the most common risk factor and most common type of stroke was ischemic.

Key Words: Cerebrovascular stroke, Ischemic stroke, Hemorrhagic stroke