No abstract

Cerebrovascular accident is a global health problem and leading cause of mortality and morbidity worldwide. Prevalence rates reported for cerebrovascular accident (CVA) worldwide vary between 500 to 800 per 100,000 population.They account to about 50%of all neurological hospital admission.Due to increase in burden of stroke in coming years and limited availability of stroke care in India, it would be better to study on preventive measures that will reduce incidence of stroke.The objective of our study was to assess the clinical profile,risk factors and the prognosis of cerebrovascular accident in 100 patients (50 Tribal and 50 Non Tribal patients) presented with cerebrovascular accident.These patient were subjected to detailed history, physical examination,ct/mri of brain and placed into one of two category of stroke either ischemic(thrombotic or embolic) or haemorrhagic.In the present study cerebrovascular strokes was more common in males(65%) than females(35%).Most common age group was 50-to 59year (35%) followed by60-69 year(27%)and most common etiology was cerebral hemorrhage (56%).Most common risk factor was hypertension 61%,alcoholism 33%,smoking23%,hyperlipidemia20% and diabetes 21%.The overall clinical diagnosis correlation with ct scan brain was 90%accurate.In hemorrhagic stroke common site was basal ganglia(especially the putamen) followed by thalmus followed by internal capsule and periventriculer area.Most commoninvolved area was mca(middle cerebral artery) territory 80% ,overall mortality was 35% which was higher in hemorrhagic stroke 52% as compared to ischemic stroke 18%.