CLINICAL PROFILE AND STROKE TOPOGRAPHY AMONG DIABETICS WITH ACUTE ISCHEMIC STROKE

Susan Dsouza; Anto Ignat Stany M; Peter George

Volume : VII, Issue : X, October - 2018

CLINICAL PROFILE AND STROKE TOPOGRAPHY AMONG DIABETICS WITH ACUTE ISCHEMIC STROKE

Susan Dsouza, Anto Ignat Stany M, Peter George

Abstract :

Introduction: Stroke is the most devastating vascular complication in diabetes for its associated morbidity and mortality. Dyslipidaemia, hypertension, obesity and atherosclerosis are higher among diabetics, which make them more vulnerable to ischemic stroke. This study was done to corelate clinical profile and topography of strokes occurring in diabetics. Materials and methods: This retrospective chart based descriptive study wasdone among diabetics with acute stroke at a tertiary care centre in Southern India over 2 years from 1^st January 2016. The patients� data on demography, history, and investigations including neuroimaging were obtained from medical records and enteredto a pre–formatted data sheet for further analysis. The outcome of the study was complete, partial, functional recovery or death. Results: Among the 112 diabetic strokes selected, 8.9% had diabetes for less than a year. In this study, middle cereal artery(MCA) territory strokes were common (62.5%) followed by lacunar infarcts (21.42%) and posterior cereal artery(PCA) territory infarcts (9.2%). Sixty–six percent of lacunar infarcts (16 of 24 patients) were also in the MCA territory.Patients with MCA territory infarcts had higher HbA1C levels. MCA territory infarcts were associated with poorer outcomes, significantly longer duration of hospital stay and slower recovery. Mortality was higher in patients with higher HbA1C levels. Mean duration of hospital stay was 9.16 �5.21 days. Conclusion: Diabetics with strokes showed higher incidences of MCA territory infarction and lacunar strokes.. Poor glycaemic control was associated with poorer outcomes and slower recovery with higher mortality.