Abstract
Background: Stroke is a common neurological disorder associated with high morbidity and mortality worldwide. Aim: The study set out to characterize the clinico-radiologic pattern of stroke patients as well as to determine the correlation between the clinical and computed tomographic (CT) scan findings in a tertiary hospital in Makurdi, North central Nigeria. Method: This was a retrospective study of 145 patients with clinically suspected stroke, who underwent CT imaging at the Benue State University Teaching Hospital, Makurdi Nigeria between December 2020 and June 2022. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 26. Results: Of the 145 clinically diagnosed cases of stroke, 122 (84.1%) were confirmed on CT. 7 (4.8%) were stroke mimics and 16 (11.0%) were normal. There were 65 (53.3%) males and 57 (46.7%) females with a male: female ratio of 1.1:1. The mean age at presentation was 58.7 ± 12.87 years with age range of 69 - 78 years being affected most. Few cases of stroke were seen below the age of fifty years. Ischaemic stroke was the commonest 77 (63.1%) followed by primary intracerebral haemorrhage (ICH) 38 (31.4%) then sub arachnoid haemorrhage (SAH) 5 (4.1%). Most infarcts were below 10 cm2, while for ICH volume those below 10 cm3 and above 100 cm3 occurred in equal proportion. Hypertension was the main risk factor for stroke with respective frequency of 31 (21.4%) and 94 (64.8%) in isolation or associated with other risk factors like Diabetes mellitus (DM), hyperlipidemia, alcohol, and smoking among others. There was significant correlation between clinical and radiological diagnosis of stroke (p Conclusion: The result showed slight male preponderance with majority of suspected stroke confirmed by CT; these were mostly of ischaemic type. There was significant correlation between clinical and radiologic diagnosis of stroke while hypertension was the main risk factor identified.
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