Abstract of Study:
Background: Stroke is the third leading cause of death throughout the world. The prolonged morbidity and extended hospitalization required by these patients makes the disease one of the most devastating in medicine. An acute stroke is defined as a focal or global deficit of brain function lasting for more than 24 hours which had occurred within 2 weeks of the patient’s presentation and which was considered on admission to have vascular cause. Computed tomography has greatly facilitated the diagnosis and management of stroke and added significantly to our understanding of pathophysiological brain alterations.
Objectives: The aims of our study is to explore the role of computed tomography in the detection of the presence or absence of hemorrhage, infarction, location, arterial territories involve in CVA, and to detect other causes simulatingstroke.
Materials & Methods: we retrospectively reviewed the medical record of 330 stroke patients during November 2019 to February 2020 , which were admitted for CT evaluation. 252 of them met the inclusioncriteria.
Results: Out of the 252 patients clinically suspected of CVA admitted for CT scan study of the brain. 181 patients i.e., 70% had infarcts, 51 patients i.e., 20%hadhaemorrhage, 6 patients i.e., 2.6%had C.V.T.,10 patients i.e., 4% had S.A.H, 7 patients i.e., 2.8% had tumors, 4 patients i.e., 1.6% had normalscans.
Infarcts formed the major group of the CVA cases i.e., 70% Involving most commonly the L.MCA territory in 69 patients i.e., 38. %. Hemorrhage formed the second major group of the CVA cases i.e., 20%. Involving most commonly the L.MCA territory in 20 patients i.e.,39.2%.
Conclusion: CT scanning is a “Gold Standard” technique for the diagnosis of acute stroke and management of stroke depends upon “accurate diagnosis” and should be ideally done in all cases.
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