Volume : VIII, Issue : VIII, August - 2019

STUDY OF ASPECTS IN RELATION TO PROGNOSIS IN MCA TERRITORY STROKE IN TERTIARY CARE CENTRE OF SOUTHERN RAJASTHAN

Dr. Prateek Bapat, Dr. Mahesh Dave

Abstract :

Aim: To study correlation of Alberta Stroke Program Early CT Score (ASPECTS) and clinical prognosis among middle cereal artery (MCA) territory infarct patients who presented within 48 hours of stroke onset. Materials and Methods: This is a prospective cohort study conducted from June to November 2017 in Udaipur district of Rajasthan where a total of 50 patients with Acute Middle Cereal Artery Ischemic stroke who had presented to our institute within 48 hrs of stroke onset were included. A detailed history of all subjects including personal details, risk factors, details of onset of stroke (time, activity while onset and date), reporting time at hospital and time of CT scan, and presenting symptoms was noted. All the patients underwent detailed neurological and other systemic examination, routine blood investigation, lipid profile, electrocardiogram and CT scan. Glasgow Coma Scale (GCS) and National Institute of Health Stroke Scale (NIHSS) were assessed at time of presentation and discharge. Time and date of CT scan were noted and ASPECTS was calculated by two observers independently in the absence of clinical information of the recruited patients. We divided patients in to two groups with ‘Better’ and ‘Worse’ ASPECTS with score of 8–10 and 0–7 respectively and compared the primary and secondary stroke outcome measures. Results : The mortality, GCS at discharge are significantly better among patients with ‘Better’ compared to ‘Worse’ APSECTS. Conclusion: We conclude that in the setting of acute ischemic stroke in middle cereal artery territory, ASPECTS at less than 48 hours of stroke onset has good correlation with severity of stroke, and is strong predictor of early outcome in acute ischemic stroke

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

STUDY OF ASPECTS IN RELATION TO PROGNOSIS IN MCA TERRITORY STROKE IN TERTIARY CARE CENTRE OF SOUTHERN RAJASTHAN, Dr. Prateek Bapat, Dr. Mahesh Dave INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-8 | August-2019

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