European Journal of Molecular & Clinical Medicine

Abstract

Background: Stroke specifically the type due to cerebrovascular disease is defined as a sudden, non-convulsive focal neurological deficit. The terms “apoplexy” originating from the Greek and insult from the Latin “insultus” described stroke phenomenon in ancient times. Cerebrovascular accident is a leading cause of death and disability throughout the world. It is a common cause of death after heart disease and cancer in India. Accurate and early diagnosis can improve the morbidity and mortality rates, as newer and more effective therapies are currently being instituted. Since computed tomography imaging is widely available, cost effective and less time consuming, it plays the role of first line imaging modality.
Aims and objectives: The purpose of the present study is to document the presence or absence of haemorrhage or infarcts, to determine the location and reasonably assessing the territory to blood vessels involved and to detect the incidence of negative cases of clinically suspected stroke.
Materials  and  Methods:  A prospective study of 62 cases admitted to Department of Radiodiagnosis, Government Medical College, Baramulla, Jammu and Kashmir, India with the clinical diagnosis of acute stroke were taken up for the study. Data for my study is collected by sampling referred cases with a clinical history of stroke.
Results: Out of 62 patients clinically suspected of CVA submitted for CT scan study of the brain. 40 patients i.e., 64.5% had infarcts. 15 patients i.e., 24.2% had haemorrhage, 3 patient i.e., 5% had S.D.H., 2 patients i.e., 3.33% had C.V.T. 1 patient i.e., 1.6 % had tumour and 1 patient i.e., 1.6% had normal scans. Infarcts formed the major group of the CVA cases i.e., 64.5%, involving most commonly the R.M.C.A. territory in patients i.e., 26.31%. Haemorrhage formed the second major group of the CVA cases i.e., 25%, involving most commonly the L.M.C.A. territory in patients i.e., 26.66%.