Thesis
Volume 4 Issue 4 - 2020
Presentation and CT Scan Findings in Patients with Acute Stroke in Emergency Unit
Alaa Muhsin Humaidy*
Emergency Department, Baghdad Teaching Hospital, Medical City, Baghdad, Iraq
*Corresponding Author: Alaa Muhsin Humaidy, Emergency Department, Baghdad Teaching Hospital, Medical City, Baghdad, Iraq.
Received: March 04, 2020; Published: March 31, 2020




Abstract

Background: Cerebrovascular disease is one of the leading causes of death in the world. Distinction between cerebral infarction and intracerebral hemorrhage is crucial because nowadays proper management of the acute stroke syndrome is based on the appropriate diagnosis of the pathological type; as this will affect morbidity and mortality apart from prognosis; which is achieved by CT. This study was designed to show the characteristics of the problem of diseased patients with acute stroke in the emergency ward of Baghdad Teaching Hospital, Medical city, Iraq.

Aim of Study: To study the ways of the clinical presentation of patients with acute stroke by CT scan, the types of stroke and to evaluate the correlation of the clinical findings in relation to the type of stroke.

Patients and Methods: A prospective study was conducted from February 2011 to October 2011, including 110 patients with acute stroke presented to emergency ward of Baghdad Teaching Hospital, Medical City; as soon as their arrival CT scan of the brain was done for them and demographic details of clinical history and general, physical, cardiovascular and neurological examinations were carried out on the patients and recorded on a proforma specially designed for that purpose.

Results and Discussion: It was found that the incidence of ischemic infarction (83.6%), intracerebral hemorrhage (13.6%) and subarachnoid hemorrhage (2.7%) among 110 positive cases (p = 0.0001) from the total 120 patients examined. The highest age group affected was sixty years old and above (P = 0.0001). The commonest presentation of ischemic infarction and intra cerebral hemorrhage was the presence of focal neurological deficit which was at (78.2%), (60%) respectively. Severe sudden onset headache was the most common presentation in subarachnoid hemorrhage (100%) (P = 0.0001). The incidence of hypertension was the highest risk factor for the examined 110 patients with positive CT findings to be present at (55.45%), followed by diabetes mellitus to be present at (30.9). Thirty percent of the total patients were smokers and (19.5%) with history of ischemic heart disease. The commonest site of the brain involved by ischemic infarction was parietal lobe (56.5%), while the left hemisphere was the most side involved (60%).

Conclusion: The study showed a similar incidence pattern of stroke to other selected studies of different countries. Cerebral hemorrhage is more common in hypertensive stroke patients. Hypertension is most common modifiable risk factor for stroke in our country. Stroke should be suspected in young adults, and early imaging is required to save the patients’ life.

Keywords: CT Scan; Acute Stroke; Emergency Unit

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Citation: Alaa Muhsin Humaidy., et al. “Presentation and CT Scan Findings in Patients with Acute Stroke in Emergency Unit”. EC Emergency Medicine and Critical Care 4.4 (2020): 102-116.

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