Study to ascertain the diagnostic value of computed tomography in patients diagnosed as acute cerebro - vascular accidents attending tertiary care centre, Siddipet District, Telangana state (original) (raw)

Significance of Computed Tomography in the Diagnosis of Cerebrovascular Accidents

Journal of Lumbini Medical College, 2014

Introduction: Cerebrovascular Accident (CVA) is defined as abrupt onset of a neurological deficit that is attributable to a focal vascular cause. CT scan is a widely available, affordable, non-invasive and relatively accurate investigation in patients with stroke and is important to identify stroke pathology and exclude mimics. Aim of this study is to establish the diagnostic significance of computed tomography in cerebrovascular accident and to differentiate between cerebral infarction and cerebral haemorrhage with CT for better management of CVA. Methods: A one year observational cross sectional study was conducted in 100 patients that presented at the department of radiodiagnosis from emergency or ward within the one year of study period with the clinical diagnosis of stroke, and had a brain CT scan done within one to fourteen days of onset. Results: A total of 100 patients were studied. 66 were male and 34 were female with a male/female ratio of 1.9:1. Maximum number of cases (3...

Comparison of Clinical Diagnosis of Stroke with Computed Tomographic Scan of the Brain

Bangladesh Journal of Neuroscience, 2013

Background and purpose: Stroke is a leading cause of mortality and morbidity in both developed as well as developing countries. The clinical presentation of stroke depending on the site and extent of lesions. For the management purpose it is important to know whether we are dealing with a bleed or an infarct. Methodology: Computed Tomography (CT scan) is available most of the tertiary level hospitals in Bangladesh. This study was carried out to compare clinical diagnosis of stroke with Computed tomography (CT) scan findings in ascertaining the type of stroke (hemorrhagic or ischemic). Materials and methods: This cross-sectional comparative study was conducted in the Department of Neurology, Rajshahi Medical College Hospital during the period of January 2010 to December 2010. Total 200 stroke patients were selected by purposive sampling technique on the basis of inclusion and exclusion criteria as the study sample. . CT brain scan was done for all the patients. The clinical diagnosis...

Computed tomographic findings in non-traumatic hemorrhagic stroke

Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2009

To analyze CT findings in hemorrhagic stroke patients correlation with clinical outcome and assess the interobserver agreement of hemorrhagic stroke identification on CT imaging. CT imaging features of 131 cases and clinical data were verified and collected at Siriraj Hospital from Jan 2004 to Dec 2005 and retrospectively analyzed for type, location, mass effect, size of hemorrhage, intraventricular extension, initial level of consciousness (GCS), hospital length of stay and patient outcome. The percentages, predictive values, kappa were calculated. From all types of hemorrhagic stroke, intracerebral hemorrhage remains a common and devastating clinical problem. The most common site was the thalamus and basal ganglia. In the present study, the authors found that fifty-three cases (53/131 cases, 40.5%) with thalamic-ganglionic hemorrhage, nineteen cases (19/131 cases, 14.5%) in lobar hemorrhage, five cases (5/131 cases, 3.8%) in cerebellum, five cases (5/131 7 cases, 3.8%) in brainste...

Study on Clinical Profile And Risk Factors of Cerebrovascular Accident With Special Reference to CT Scan Findings of Brain

Paripex Indian Journal Of Research, 2020

Background: Stroke is one of the leading causes of morbidity and mortality in India. The objective was to study the clinical profile, risk factors and type of stroke as per CT scan findings in patients with stroke. Methods: 50 cases of cerebrovascular accident confirmed after CT scan of brain over a period of 18 months (January 2018 to June 2019) were analysed. Results: The incidence of stroke was maximum in 61-80 years of age group. The average average±SD was 58.68±16.73 in our study. 31(62%) patients had ischemic stroke and 17(34%) patients had intracerebral hemorrhage and 2(4%) had subarachnoid hemorrhage. The male to female ratio was 1.38:1. Hypertension (58%) was the most common risk factor. Conclusions: In developing countries like India, there is a huge burden of stroke with significant morbidity and mortality. We will be extremely benefited if we assess the condition and prognosis of stroke patients by clinical parameters, risk factors stratification, CT scan of brain and electrocardiographic changes.

Use of CT-Scan for Predicting Mortality of Acute Intracerebral Haemorrhagic Stroke within 7 and 28 Days

Journal of National Institute of Neurosciences Bangladesh

Background: Recognition of factors affecting morbidity and mortality of a disease helps in the proper management of a disease. CT scan of Brain is an essential investigation for all stroke patients. Identifying different characteristics of the CT findings of stroke patients which affect morbidity and mortality will help in the specific management of stroke patients. Thus this study was done to identify such factors from CT scan of Brain which will help in the proper management of stroke patients. Objectives: The aim of this present study was to determine the 7th and 28th days’ mortality rate of acute intracerebral hemorrhagic stroke and to determine the predictors of mortality. Methodology: Consecutive CT scan proven stroke patients following ICH were studied in the department of Radiology & Imaging at Rajshahi Medical College, Rajshahi, Bangladesh in collaboration with the Department of Neurology of Rajshahi Medical College, Rajshahi from January 2012 to December 2013. Site, size a...

Analysis of Stroke on Brain Computed Tomography Scans

2013

Stroke is one of the leading causes of death and disability in he world. Early detection of Stroke (both hemorrhagic and ischemic) is very important as it can e nsure up to full recovery. Timely detection of stroke, especially ischemic stroke is difficult as the cha nges in abnormal tissue only become visible after the damage has already been done. The detection is even mor difficult on CT scan compared to other imaging modalities but the dependence of a large fract ion of population on CT, makes the need to find a solution to the problem even more imperative. Though the detection accuracy of radiologists for early stroke depends on various factors like experience , available technology, etc., earlier estimates put the accuracy around 10% [45]. Even with considerable adv ancement in CT technology the performance has still only increased to around 70% or thereabouts [ 21]. Any kind of assistance to radiologists which can improve their detection accuracy would therefore be much apprec...