Clinico-radiological profi le of strokes in Kashmir valley, North-West India: A study from a university hospital
- Author:
Parvaiz A Shah
;
G Hussain Bardi
;
Bashir A Naiku
;
A Khaliq Dar
;
Rakesh K Kaul
- Publication Type:Journal Article
- From:Neurology Asia
2012;17(1):5-11
- CountryMalaysia
- Language:English
-
Abstract:
Background: Globally, ischemic stroke outnumber hemorrhagic strokes. However, it was observed
that hemorrhagic stroke is more common in Kashmir valley. The present study was conducted to
substantiate this notion, and to identify the possible risk factors. Methods: This prospective study
was conducted on 6,906 patients with fi rst ever stroke admitted to S. M. H. S. Hospital, an associated
teaching hospital of the Government Medical College, Kashmir, from January 1996 to June 2009.
Other than clinical history, examination and routine biochemistry, cranial CT scan (non-contrast) was
performed in all the cases within three days of the stroke onset. MRI brain, CSF analysis, screening
for cardiovascular disorders, prothrombotic states and collagen profi le were performed wherever
deemed necessary. Results: There was predilection of stroke among the males and rural population.
Eighty three percent of patients developed fi rst-ever stroke in sixth and seventh decade. Fifty four
percent of cases had a Glasgow coma score of >10 on admission. Intracerebral hemorrhage was
observed in 64.7% patients with male preponderance. Putamen (53.5%) was the most common, site
of hemorrhage, followed by thalamus (29.7%). Hypertension, smoking and multiple risk factors were
observed in 92.3%, 70.3% and 67.9% cases respectively. Poor antihypertensive medication compliance
was observed in 55.9% cases.
Conclusions: Intracerebral hemorrhage was the commonest stroke-type observed in Kashmir accounting
for close to two third of strokes with male preponderance.
- Full text:P020150707440461576218.pdf
