Remark on some clinical characteristics, CT scanner images and evaluate the value of SIRIRAJ grade in diagnosis for cerebral hemorrhages and cerebral infarction at the General Nghe An Hospital
- Author:
Duong Dinh Chinh
- Publication Type:Journal Article
- Keywords:
Cerebral hemorrhages, cerebral infarction
- MeSH:
Cerebral Hemorrhage;
Cerebral Infarction;
Diagnosis;
Tomography;
X-Ray Computed
- From:Journal of Practical Medicine
2005;519(9):36-39
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
A study on 114 patients at the Mental Department and Emergency Department in the General Nghe An Hospital from Aug 2002 to Aug 2004 showed that: cerebral stroke is common disorder in neurology. Cerebral hemorrhages patients have some symptoms such as: conscious disorders (90.5%); headache (95.2%); encephalic infarction with hemiplegia 72.2%. Cerebral hemorrhages with sudden onset (76.2%), serious conscious disorder (71.4%), headache (66.7%), and vomiting (57.1%), orbicularis disorder (80.9%), meningitis syndrome (57.1%). Although encephalic infarction onset is more serious, its symptoms are much lower than cerebral hemorrhages. The average blood pressure in patients with cerebral hemorrhages is higher than that in patients with encephalic infarction. 87.7% patients have one lesion nest identified by computed tomography (CT) scanner, in which infarction-hemorrhagic lesion was 7%. The method has high value in differential
diagnosis between cerebral hemorrhages and cerebral infarction with the sensitivity of diagnosis of cerebral hemorrhages was 88.8% and encephalic infarction was 90.9%, the overall accuracy was 93.7%. Because the SIRIRAJ grade is simple, easy to count and mainly based on questioning patients, so it should be applied widely for doctors at community centers without CT scanner.
