A study of outcome of patients with ischemic CVA in relation to carotid lesions
Journal Title: Medpulse International Journal of Medicine - Year 2017, Vol 3, Issue 1
Abstract
Background: There is high probability of future CVA in patient with TIA and previous CVA. The clinical outcome in patients with stroke associated with internal carotid artery (ICA) occlusion is poor. Therefore, it would be beneficial to investigate such patients, if there are methods of preventing further stroke. The purpose of the current study was to assess predictive factors of adverse outcomes such as death and disability in patients with ischemic CVA in relation to carotid lesions. Material and Methods: The present study was carried out on 50 consecutive cases with the diagnosis of ischemic stroke or TIA. All patients underwent non contrast CT scan on admission, the scan was repeated after 48 hours only in those patients, where initial scan was not showing any hypodense lesions. Results: Out of 50 cases, 41(82%) patients showed clinical improvement, 07(14%) patients had progression of stroke, while 02(4%) patients had recurrence of symptoms. Out of 7 cases of progression (worsening), 6 (85.7%) had severe carotid stenosis, out of which 3(16.6%) patients had total occlusion, while 1(14.3%) case had non severe stenosis. Discussion: Carotid doppler can be used as best noninvasive tool in patients with acute stroke, to detect severity of stenosis and ‘high risk plaques’, so that stroke event rate (progression and recurrence) can be minimized by selecting these ‘high risk’ patients for carotid endartrectomy, while patients in other group can be followed, with continuing medical treatment along with modification of diet and risk factors.
Authors and Affiliations
Vyankatesh Patki, Riyaj Mujawar
Keywords
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