Correlation of Clinical Findings with Radiological Imaging of Brain in Acute Stroke Patients

Abstract

Introduction: Stroke is the most common neurological emergency [1]. It is a medical emergency that occurs when the blood flow to the brain is suddenly disrupted, resulting in the death of brain cells. A stroke can cause long-term disability or death if not treated quickly. It is important to recognize the signs and symptoms of stroke and seek immediate medical attention. Aim of the Study: The aim of the study was to find out the correlation of clinical findings with radiological imaging of the brain in acute stroke patients. Methods: This descriptive type of cross-sectional study was conducted at the Department of Medicine of Sir Salim Ullah Medical College & Mitford Hospital; Bangladesh. The study period was Six (6) months, starting from 1st January; 2018 to 31st June 2018 A total of 100 patients with a stroke, aged 30 years and older, in whom a CT scan or MRI of the brain was done, were included in this study. Results: Out of 100 patients, 65% were male and 35% were female, with the majority of patients aged 61 to 70. Most of the admitted stroke patients were businessmen (26%), and most belonged to the lower-income group (43%). HTN was associated with 72% of ischemic stroke patients and 80% of hemorrhagic stroke patients. DM was present in 64% of ischemic stroke patients and 44 % of hemorrhagic stroke patients. Dyslipidemia was associated with 45% of ischemic stroke patients and 40% of hemorrhagic stroke patients. CT/MRI of the brain revealed 75% ischemic stroke, 22% intracerebral hemorrhage, and 3% SAH. Infarction in the MCA territory was most common (74.6%), followed by the PCA territory (10.6%) and ACA territory (9.3%). The most common site for hemorrhage was the basal ganglion region (45.45%). The positive predictive value of the Siriraj score for the clinical diagnosis of ischemic and hemorrhagic stroke was 88% and 84%, respectively, and the specificity of the Siriraj score for the diagnosis of hemorrhagic stroke was 95.8%. Conclusion: In this study, ........