The role of computed tomography in the evaluation of cerebrovascular accidents

Kumar, T Lokesh; Gore, Vinay N.; Patil, Giridhar

doi:10.18203/2320-6012.ijrms20163195

Int J Res Med Sci

2016

DOI: 10.18203/2320-6012.ijrms20163195

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The role of computed tomography in the evaluation of cerebrovascular accidents

T Lokesh Kumar¹,

Vinay N. Gore²,

Giridhar Patil

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Cited by 3 publications

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Paediatric Stroke- An Analysis on Artery of Paediatric Infarct- Lenticulostriate Arteries

Ramasamy¹,

Periakaruppan²,

Venkataraman³

et al. 2018

jemds

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BACKGROUND Stroke is a neurological insult due to cutoff of blood supply to brain. [1] Paediatric stroke is a rare, but increasing cause of childhood morbidity. [2,3] Causes and pattern of stroke in children and newborn is different from adults. Stroke can be haemorrhagic or ischaemic or both. In India, paediatric population usually refers to children under 12 years. The purpose is to study the vascular distribution pattern and prevalence of isolated involvement of lenticulostriate arteries in acute arterial stroke among paediatric population in India using MRI. MATERIALS AND METHODS This is a cross-sectional study involving 144 paediatric patients from newborn to 12 years of age in the tertiary care medical college hospital, India. Study included patients diagnosed to have acute arterial infarct by MRI study of brain. The areas and arterial territory of the infarct were studied and analysed. Isolated involvement of medial and lateral lenticulostriate arteries were analysed. Statistical analysis was done by Chi-Square test and Fisher's exact test. RESULTS Our study shows isolated involvement of Lenticulostriate arteries accounting for 51.4% of acute arterial infarct in paediatric population. There is increased incidence of stroke in Lenticulostriate arterial territory in 0-4 years of age group (P value-0.016). Lateral lenticulostriate arteries were commonly involved than medial, which accounts for 85% of their total. CONCLUSION Involvement of vascular territory in paediatric age group is different from adults. Among paediatric arterial infarcts, Lenticulostriate arteries are commonly affected, lateral more than medial. There is increased incidence of Lenticulostriate artery infarct in 0-4 yrs. of age. Since infarct in Lenticulostriate artery accounts for more than half of acute arterial infarct in paediatric population, it can be given a special name as "Artery of Paediatric Infarct."

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Paediatric Stroke- An Analysis on Artery of Paediatric Infarct- Lenticulostriate Arteries

Ramasamy¹,

Periakaruppan²,

Venkataraman³

et al. 2018

jemds

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Study of Etiopathogenesis and Types of Stroke Among Young Females

Israni

2020

IJAR

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BACKGROUND-The present study was thus conducted to assess the etiopathogenesis and type of stroke in young women. METHODOLOGY- The present study was conducted facility based observational Study at Departmentof Medicine, tertiary care centre, Bhopal for a period of 18 months on young females with stroke. Detailed history regarding presenting complaints was obtained from patients. Apart from this ECG, 2D echo, carotid artery doppler and CTscan was also done to study the type and cause of stroke. RESULTS-The study included a total of 100 females in the age range of 12 to 45 years presenting with stroke.Most common etiology of strokewas cardiac(20%), pregnancyassociatedstroke (15%). SBPwassign icantlyhigh inSDHpatien tsfollowedby patientswith IPbleed(154 .32±39.06mmHg). CONCLUSIONS-Strokeismoreprevalentin youngworkingag ewomenhavingh istoryofrheumat oidheartdisease, hypertension,pre gnancyandtuber culosis.Infarctionwasthemostcommonstroketypeamongthepregnantand postpartum women

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Patterns of computed tomography imaging findings in patients diagnosed with cerebrovascular accident in Nigeria: a single center study

Usoro,

Akhigbe,

Ogolodom

et al. 2024

AG Salud

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Background: Stroke is a major challenge to physicians worldwide, with high incidence, mortality, disability rates, and costs. This study was designed to evaluate the patterns of computed tomography imaging findings in patients diagnosed with cerebrovascular accident in Nigeria. Materials and methods: A cross-sectional retrospective study design was adopted to select 320 patients with stroke who underwent CT imaging at a radiological facility in Ibadan, Nigeria. Data such as CT imaging findings in CVA, age and gender of the patients were collected from the CT radiological reports archive for cases done from January 2023 to October 2023. Results: Males were highest 208(65%) and the majority 104(32%) were within the age group of 60-69years. Based on CT findings, the majority 180(56.3%) was haemorrhage and the least 20 (6.3%) was transient ischemic attack. Out of 120 cases of infarcts, 27 (22.5%) were female and males were 110 (61.1%) out of 180 cases of haemorrhagic CVA. Conclusion: Male preponderance was noted in this study. Older adults were commonly affected and haemorrhagic CVA was the commonest CT imaging finding. Improving access to health care for males, and increasing screening and early detection of CVA, could also help to reduce the gender disparity.

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The role of computed tomography in the evaluation of cerebrovascular accidents

Cited by 3 publications

References 5 publications

Paediatric Stroke- An Analysis on Artery of Paediatric Infarct- Lenticulostriate Arteries

Paediatric Stroke- An Analysis on Artery of Paediatric Infarct- Lenticulostriate Arteries

Study of Etiopathogenesis and Types of Stroke Among Young Females

Patterns of computed tomography imaging findings in patients diagnosed with cerebrovascular accident in Nigeria: a single center study

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