2019 Month : March Volume : 6 Issue : 9 Page : 691-696
J. Vijaya Bhaskararao1, T. Tulasi Madhuri2, Moka Apparao3
Dr. T. Tulasi Madhuri,
Department of Pharmacology,
GITAM Institute of Medical Sciences and Research, Visakhapatnam- 530 045, Andhra Pradesh, India.
Stroke is one of the leading causes of mortality and morbidity worldwide. Stroke is a life-changing event that affects not only the person who may be disabled, but their family and caregivers also.
MATERIALS AND METHODS
Inclusion Criteria: Patients diagnosed to have various form of strokes and who are willing to participate in the study.
Exclusion Criteria: Pregnant women, patients with life threatening co morbid conditions and who are not willing to participate in the study.
Among these ischemic stroke (71%) (no. =213) patients 69.33% had arterial (no. =208) and 1.66% had venous infarcts (no. =5). Among arterial ischemic strokes commonest arterial territories involvement is middle cerebral artery 56%, anterior cerebral artery 9.33% and posterior circulation is 4%. Hemorrhagic Stroke: Most common locations of bleed in our study are capsuloganglionic 12.33% (n=37) followed by lobar 7.33% (n=22) and thalamus 6.33% (n=19). Other least common sites are Cerebellar 1.33% (n= 4), pons 1% (n=3) and others 0.66% (n=2).
Hypertension is commonest Risk factor about 57.33% in our study, followed by other risk factors like smoking 28.33% and diabetes 25.66%. Moreover, no single measure fully describes or predicts all dimensions of stroke recovery and disability. Despite that NIHSS(score21-42) and GCS (GCS <8) can be used as a predictive value for assessment initial stroke severity and prognostic tool within the first 30 days in acute stroke being a simple scale, especially in countries with poor resources like India.
National Institutes Health Stroke Scale, Glasgow coma scale, Modified Rankin Scale, Barthel Index.