Stroke Topograpghy and inhospital mortality in diabetic and nondiabetic stroke patients in vindhya region

Dr. Keshav Singh; Dr. Praveen Kumar Baghel; Dr. Jitendra Kumar Dandotia

Volume : VIII, Issue : IV, April - 2019

Stroke Topograpghy and inhospital mortality in diabetic and nondiabetic stroke patients in vindhya region

Dr. Keshav Singh, Dr. Praveen Kumar Baghel, Dr. Jitendra Kumar Dandotia

Abstract :

BACKGROUND: Stroke is defined as an aupt onset of neurologic deficit that is attributable to a focal vascular cause. It represents the second most common cause of mortality and the third most common cause of disability in developed countries. diabetes is an important causative factor for higher mortality among stroke patients, Hence the need of a study to assess prognosis of stroke in Diabetic and Nondiabetic patients. MATERIAL AND METHODS: This was a cross sectional Observational study conducted on 500 patients of stroke for a duration of 1 year. written informed consent was taken from all patients. History, clinical examination and Radiological investigations (CT SCAN/ MRI) was done for confirmation of stroke. RESULTS: Out of 500 patients 72.8% had ischemic stroke and 27.2% had haemorrhagic stroke. Among diabetic group ischemic stroke was distributed in the following manner– Cortex 32.94%, Basal Ganglia 27.64%, Thalamus 17.6%, Brain Stem 12.94%, Cerebellum 8.82% in contrast to non–diabetics where it was in the following order Cortex 28.86%, Basal Ganglia 22.68%, Thalamus 20.61%, Brain Stem 16.49%, Cerebellum 11.34%. Among diabetic patients distribution of intracereal hemorrhage was as follows Cortex 10.52%, Basal Ganglia 21.05%, Thalamus 39.47%, Brain Stem 7.89%, Cerebellum 21.05% compared to nondiabetic group where it was Cortex–19.38%, Basal Ganglia 45.91%, Thalamus 14.28%, Brain Stem–12.24%, Cerebellum 8.16%. In our study inhospital mortality was 17% (85 patients), in diabetic group mortality was 26.44% and in nondiabetic group it was 10.27%. hemorrhagic stroke had higher mortality (27.94%) as compared to ischemic stroke (12.91%). In diabetic group male diabetic stroke patients had higher in hospital mortality than female diabetic stroke patients and it was statistically significant (p <0.0010). CONCLUSION: in our study topographically overall basal ganglia was the most common area to be involved followed by cereal cortex, thalamus, ainstem, and cerebellum. in diabetic group cortex was the most commonly involved area while in nondiabetic patients basal ganglia was most commonly involved area. our study shows that mortality in diabetic stoke were significantly higher than nondiabetic and among them haemorrhagic stroke significantly surpassed ischemic stroke. mortality in diabetic stroke was also sex dependent with male patients showing significantly more mortality than female.