Volume : VII, Issue : VII, July - 2018

CLINICO-RADIOLOGICAL PROFILE OF ACUTE STROKE IN PATIENTS WITH HYPERTENSION

Dr Raghav Sharma, Dr Nanditha C N

Abstract :

Background and Objective:

Cereovascular accidents are an important cause of premature death and disability, and is enhanced by increased prevalence of key modifiable risk factors. Hypertension is one of the important modifiable risk factor for both ischemic and hemorrhagic stroke. CT forms an effective first line of investigation for patients with stroke because of ease of acquisition.

Method:

This study is a case–control hospital–based study, which has been done over a period of 18 months (January 2016 to June 2017). All acute stroke patients with hypertension as per JNC 8 guidelines were included in the study. A total of 164 hypertensive patients presenting with acute stroke satisfying the inclusion criteria were enrolled in the study.

Results: A total of 164 patients were enrolled in the study. The majority of cases were seen in patients with age >60 years, maximum number between the age group 61–70 years constituting about 35% of the  cases. The gender distribution showed 60% of cases were male and 40% were of female gender. The type of stroke had both ischemic and hemorrhagic stroke with ischemic stroke contributing to 79% of the cases. The duration of hypertension had no relation to occurrence of disease, however majority of cases were seen in patients with history of hypertension for 5 years or more. The evaluation of blood pressure on presentation showed 57% of cases having an uncontrolled hypertension and 73% of hemorrhagic stroke had uncontrolled pressures on presentation to the hospital. CT was the initial imaging done on presentation which showed 79% infarct and 21% of hemorrhage. Among patients with infarction in CT, 115 cases (87%) had acute changes, 12 cases had lacunar stroke and 4 patients (<1%) had multi infarct state. The topographical assessment of cases showed majority of ischemic stroke were within MCA territory and hemorrhagic stroke being commonly seen in gangliocapsular region in 80% of cases.

Conclusion In this study the clinical and radiological profile of cases presenting with acute stroke were studied. The majority of cases were infarcts and the remaining being hemorrhagic stroke.

It was observed that the incidence of stroke was more common after the age of 60 and more common in male gender. The duration of hypertension had no relation with severity of stroke whereas, uncontrolled blood pressure at presentation had a higher chance of having an ischemic or hemorrhagic stroke.

The ischemic strokes were more common compared to hemorrhagic stroke with MCA territory being most common site of stroke.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr Raghav Sharma, Dr Nanditha C N, CLINICO-RADIOLOGICAL PROFILE OF ACUTE STROKE IN PATIENTS WITH HYPERTENSION, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-7 | July-2018

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