A study on CVA and its clinical correlation with CT scan brain findings
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2017, Vol 22, Issue 3
Abstract
Background: Stroke/CVA is an abrupt onset of neurological deficit due to focal vascular cause, and it needs both clinical and laboratory studies including brain imaging for diagnosis. The clinical manifestations of stroke are highly variable because of complex anatomy of brain and its vasculature. Early diagnosis and treatment is necessary to prevent mortality and morbidity. CT plays a major role in CVA to assess the site, size, nature of the lesion. Aim: This study was conducted to correlate clinical features with CT brain findings in CVA. Methods: This is a hospital based prospective study done in department of general medicine, Katuri Medical College and Hospital, Guntur, Andhra Pradesh. In 102 CVA patients admitted in the hospital between November 2014 to October 2016. All the subjects were thoroughly examined clinically to find the features suggestive of the lesion. Then the patients were subjected to basic lab investigations like Urine analysis, blood urea, serum creatinine, blood sugar levels, serum electrolytes, lipid profile and 12 lead ECG,2D Echo, CT brain. Results: Out of 102 patients 62 were males and 40 were females.86 showed lesion( positive CT) in the CT scan, either infarct or haemorrhage and in 16 patients CT scan was normal(negative CT).Out of 102 cases,clinically,77 cases presented as infarcts and 25 cases presented as haemorrhage. On CT Scan, 62 cases had infarcts (60.7%), 24 cases had haemorrhages (23.5%) and 16 cases showed normal CT findings(15.6%). Conclusion: Various clinical aspects in CVA do not correlate exactly with CT Scan findings in all cases, hence both thorough clinical examination and CT Scan brain are mandatory.
Authors and Affiliations
Ranga Raja Rao Midde, Durga Prasad Sadupati, Adarsh Ande
Keywords
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