Clinico-radiological Profile of Stroke in Western Nepal: A Computed Tomography Study

Authors

  • Sumnima Acharya Department of Radiodiagnosis Lumbini Medical College Teaching Hospital, Palpa
  • Awadhesh Tiwari Department of Radiodiagnosis Lumbini Medical College Teaching Hospital, Palpa
  • Raju Prasad Shakya Lumbini Medical College Teaching Hospital, Palpa

Keywords:

Cerebrovascular trauma, Computed tomography, Stroke

Abstract

Introduction: Stroke is a major public health burden worldwide and is responsible for a large proportion of disability.  It ranks third in the causation of morbidity and mortality. This study was carried out to establish the pattern of various types of cerebrovascular accident (CVA) in western Nepal, to correlate the clinical data and radiological findings in cases of stroke, and to identify the common risk factors associated with stroke.

Methods: A total of 200 patients presented at the department of Radio diagnosis from emergency or ward within six months of study period from 18th of September 2015 to 17th of March 2016 with clinical diagnosis of stroke. Brain CT scan was done within 14 days of onset.

Results: There were 200 patients with stroke (124 males and 76 females), aged 19 to 92 years in which infarction was more common than hemorrhage (57% Vs 41.5%) clinically. Hypertension was the commonest risk factor noted in 59% cases followed by Diabetes Mellitus in 39%. Middle cerebral artery (MCA) territory infarction was the most common site of infarction. Clinical and CT localization of hemorrhage and infarct was correct in 153 cases (75%) which were statistically significant.

Conclusion: Infarction is more common than hemorrhage as the type of stroke. Hypertension is the commonest risk factor followed by diabetes mellitus.

J. Lumbini. Med. Coll.Vol 4, No 2, July-Dec 2016

DOI: https://doi.org/10.22502/jlmc.v4i2.91

Downloads

Download data is not yet available.
Abstract
836
PDF
463

Author Biographies

Sumnima Acharya, Department of Radiodiagnosis Lumbini Medical College Teaching Hospital, Palpa

Lecturer

Awadhesh Tiwari, Department of Radiodiagnosis Lumbini Medical College Teaching Hospital, Palpa

Associate Professor

Raju Prasad Shakya, Lumbini Medical College Teaching Hospital, Palpa

Consultant Family Physician

Downloads

Published

2017-01-26

How to Cite

Acharya, S., Tiwari, A., & Shakya, R. P. (2017). Clinico-radiological Profile of Stroke in Western Nepal: A Computed Tomography Study. Journal of Lumbini Medical College, 4(2), 60–63. Retrieved from https://www.nepjol.info/index.php/JLMC/article/view/16462

Issue

Vol. 4 No. 2 (2016)

Section

Original Research Articles

License

The Journal of Lumbini Medical College (JLMC) publishes open access articles under the terms of the Creative Commons Attribution(CC BY) License which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

JLMC requires an exclusive licence allowing to publish the article in print and online.

The corresponding author should read and agree to the following statement before submission of the manuscript for publication,

License agreement
In submitting an article to Journal of Lumbini Medical College (JLMC) I certify that:

  1. I am authorized by my co-authors to enter into these arrangements.
  2. I warrant, on behalf of myself and my co-authors, that:
    • the article is original, has not been formally published in any other peer-reviewed journal, is not under consideration by any other journal and does not infringe any existing copyright or any other third party rights;
    • I am/we are the sole author(s) of the article and have full authority to enter into this agreement and in granting rights to JLMC are not in breach of any other obligation;
    • the article contains nothing that is unlawful, libellous, or which would, if published, constitute a breach of contract or of confidence or of commitment given to secrecy;
    • I/we have taken due care to ensure the integrity of the article. To my/our - and currently accepted scientific - knowledge all statements contained in it purporting to be facts are true and any formula or instruction contained in the article will not, if followed accurately, cause any injury, illness or damage to the user.
  3. I, and all co-authors, agree that the article, if editorially accepted for publication, shall be licensed under the Creative Commons Attribution License 4.0. If the law requires that the article be published in the public domain, I/we will notify JLMC at the time of submission, and in such cases the article shall be released under the Creative Commons 1.0 Public Domain Dedication waiver. For the avoidance of doubt it is stated that sections 1 and 2 of this license agreement shall apply and prevail regardless of whether the article is published under Creative Commons Attribution License 4.0 or the Creative Commons 1.0 Public Domain Dedication waiver.
  4. I, and all co-authors, agree that, if the article is editorially accepted for publication in JLMC, data included in the article shall be made available under the Creative Commons 1.0 Public Domain Dedication waiver, unless otherwise stated. For the avoidance of doubt it is stated that sections 1, 2, and 3 of this license agreement shall apply and prevail.

Please visit Creative Commons web page for details of the terms.