Research Article
Volume 12 Issue 10 - 2020
Stroke Scores, their Clinico-Radiological Correlations in Acute Middle Cerebral Artery Infarct: A Study from Resource Limited Setting of Eastern India
Biswal Nihar Ranjan1, Gantayat Maya2, Singh Mamata3 and Mishra Shubhankar4*
1Assistant Professor, Department of Neurology, SCB Medical college, Cuttack, Odisha, India
2Consultant Neurologist, Aswini Hospital, Cuttack, Odisha, India
3Consultant Radiology, Aswini Hospital, Cuttack, Odisha, India
*Corresponding Author: Mishra Shubhankar, Senior Resident, Department of Neurology, SCB Medical college, Cuttack, Odisha, India.
Received: June 05, 2020; Published: September 30, 2020




Abstract

Background: Stroke is 2nd leading cause of death worldwide and two third of these deaths Occur in people living in developing countries. Neuroimaging is the cornerstone of the diagnosis of stroke. The aim of the study was to predict the prognostic value of 4 scores in acute anterior circulation stroke those who have high grade stenosis in CT Angiogram

Materials and Methods: It was a prospective clinical study in a tertiary referral corporate hospital of eastern India from January 2017 to December 2017. We Selected Anterior Circulation Stroke Patients Having High Grade Stenosis (60% - 100%) as our case cohort. High grade stenosis was confirmed by CT angiogram. Total 38 Patients were included. Aspects Score, clot burden score (CBS), collateral Score (CS) was calculated after doing NCCT Brain and CT angiogram. All Scores Were dichotomized to a high and low Score to predict the outcome in each Group. Ethical clearance was obtained from ethical society of SCB Medical College. Statistical analysis was done by spas software version 24.

Results: From the patient cohort incidence in male was higher than females. All the three scores were used to evaluate the patients. Post discharge follow up revealed significant improvement in patients having high scores in CBS, CT, ASPECTS and low scores in NIHSS. The collateral score was statistically significant in determining the prognosis of patients.

Conclusion: Plain CT scan is not enough to predict and prognosticate the outcome of ischemic stroke patients. CTA, CT perfusion scan must be done in all ischemic stroke patients to measure infarct core and salvageable penumbra which can be thrombolysed within window period. Collateral score can give better prediction about stroke outcome than other scores.

Keywords: Stroke; CTA; Collateral Score; Clot Burden Score

References

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Citation: Mishra Shubhankar., et al. “Stroke Scores, their Clinico-Radiological Correlations in Acute Middle Cerebral Artery Infarct: A Study from Resource Limited Setting of Eastern India”. EC Neurology 12.10 (2020): 130-135.

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