ROLE OF CLINICAL AND IMAGING FEATURES IN THE PREDICTION OF CLINICAL OUTCOME IN ACUTE CEREBELLAR STROKE

Dr. Moses P.Moorthy; Prof. S. Balasubramanian; Prof. K. Bhanu; Prof. A.V.Srinivasan

Volume : VII, Issue : IV, April - 2018

ROLE OF CLINICAL AND IMAGING FEATURES IN THE PREDICTION OF CLINICAL OUTCOME IN ACUTE CEREBELLAR STROKE

Dr. Moses P. Moorthy, Prof. S. Balasubramanian, Prof. K. Bhanu, Prof. A. V. Srinivasan

Abstract :

Aim:

To study about the role of clinical and imaging features in the prediction of clinical outcome in acute cerebellar stroke.

Methods:

This study is a prospective analytical study carried out in stroke unit of Institute of Neurology, Madras Medical College, Chennai from January 2014 to April 2015.

The clinical and imaging features including the volume of acute cerebellar stroke at the time of admission, during the hospital course are monitored to analyze the clinical outcome.

Results:

This study is done in 50 patients with acute cerebellar stroke – Ischemic stroke (58%), Hemorrhagic stroke (42%). Mean age in males (53.68), Females (62.00).Incidence in males (82%), Females (18%). Statistical analysis revealed Low GCS score was associated with poor clinical outcome (p<0.0001). Low NIHSS score was associated with good clinical outcome (p<0.0001). CT Brain is highly sensitive in detecting hemorrhagic stroke and its complications (p<0.0001). MRI Brain is highly sensitive in detecting ischemic stroke and its complications (p<0.0001). Management of ain stem complications in appropriate time showed good clinical outcome (p<0.0001).Cerebellar hemorrhage size <3 cm showed good clinical outcome. 3–5cm showed good clinical outcome with surgery. >5cm showed poor clinical outcome in spite of surgery (p<0.0001).

Conclusion:

In acute cerebellar stroke, monitoring the clinical and imaging features help us to detect the complications early. Appropriate management in time gives good clinical outcome.