CATEGORIZATION OF ISCHEMIC STROKE ACCORDING TO TOAST AND ACOS   INTO VARIOUS SUBTYPES

Dr .I.S.S.V.PRASADA MURTHY RAJU; Dr. VINAYASEKHAR; Dr.THRILOK CHANDER; Dr.SRILATHA

Volume : VI, Issue : X, October - 2016

CATEGORIZATION OF ISCHEMIC STROKE ACCORDING TO TOAST AND ACOS INTO VARIOUS SUBTYPES

Dr . I. S. S. V. Prasada Murthy Raju, Dr. Vinayasekhar, Dr. Thrilok Chander, Dr. Srilatha

Abstract :

BACKGROUND: The stroke prognosis mainly depends on types of stroke and etiology1. Categorization of stroke into various sub types will yield basis for newer modalities of therapy as the outcome influenced by stroke subtypes. Early recognition of a stroke subtype followed by timely and appropriate treatment strategies have been shown to significantly reduce mortality . OBJECTIVES: –1. To know the classification of stroke subtypes for therapeutic decision–making in daily practice STUDY DESIGN: prospective observational cohort study. MATERIALS & METHODS: Stroke patients admitted in the emergency department of Gandhi hospital during October 2014 to October 2015 and 501 patients were evaluated by detailed history and clinical examination along with relavant investigations were considered in this study. Statistical methods: The observations and data were analyzed in the statistical package social sciences (SPSS) trial version 11 by Chi–square and Fisher Exact test has been used to find the significance of proportions of outcome with various demographic, etiological and neurological factors.The level of significance was set at P<0.05. Results: undetermined (UD) stroke cases formed the majority of 107 which consists of (41%) followed by 61 lacunar stroke(23.40%) and 42 cases of Atherothrombosis (17%). Cardioembolic type are 29 in number (9.20%) along with 15 cases of ODE (5.70%) are in in the present study. In the group of UD undetermined stroke cases 20 cases were evaluate completely (7.60%) and 87 cases were incompletely evaluated(33.40%) Conclusions: 1.This can be applied in acute emergency situations to recommend specific treatment modalities. 2) Also useful to classify TIAs for prevention of future stroke.