Abhishek M. B, Ashwin Kulkarni, T. Anil Kumar, Vishwanath K
BACKGROUND Acute Cerebrovascular Accidents are very common presentations in majority of hospitals. There may be many instances where CT scans may not be available, especially in rural settings in developing countries. Siriraj stroke score can be used as a safe diagnostic tool where CT scans are not available or affordable. A score >1 indicates cerebral haemorrhage, while <-1 indicates cerebral infarction. A score between 1 and -1 represents an equivocal result needing a CT scan. This study was undertaken to know the accuracy of Siriraj score in patients of acute Cerebrovascular accidents in a tertiary care hospital. The aim of this study was validation of Siriraj stroke score in patients presenting with acute Cerebro Vascular Accidents. MATERIALS AND METHODS Siriraj stroke score recorded for 53 subjects. It is a cross sectional study and presumptive diagnosis of acute ischemia or haemorrhage was made and the findings were compared with CT scan brain-plain. RESULTS The sensitivity and specificity of Siriraj stroke score were 100% and 37.5% for infarction and 37.5% and 100% for haemorrhage respectively. The overall accuracy of the Siriraj stroke score is 75.4%. CONCLUSION According to present study, the overall accuracy of Siriraj stroke score by cross sectional study is 75.4%. There were many limitations in the study and the study design was retrospective. Further prospective studies may be conducted to know the exact accuracy of the Siriraj stroke score.
