Role of computed tomography in evaluation of cerebrovascular accidents
Journal Title: Medpulse International Journal of Radiology - Year 2018, Vol 6, Issue 2
Abstract
Background: 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, costeffective and less time consuming, it plays the role of firstline imaging modality. 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 suspectedstroke. Methods: A prospective study of 60 cases admitted to Meenakshi Medical College and Hospital Kancheepuram 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 from a period of 12 months starting from November 2015 to October 2016. Results: Out of 60 patients clinically suspected of CVA submitted for CT scan study of the brain. 38 patients i.e., 63.33% had infarcts. 15 patients i.e., 25% 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 normalscans. Infarcts formed the major group of the CVA cases i.e., 63.33%, 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%. Conclusion: The result of the study showed that there is a preponderance of ischaemic CVA over hemorrhagic CVA. There is also a male preponderance in the incidence of both hemorrhagic and ischemic CVA.C.T. Scanning is a “Gold Standard” technique for the diagnosis of acute stroke and management of stroke depends upon “accurate diagnosis” and should be ideally done in all cases.
Authors and Affiliations
Venkateshwaran A, Akash Lata, N Parthipan
Keywords
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