FREQUENCY OF CEREBRAL INFARCTION AND HAEMORRHAGE IN THE PATIENTS OF STROKE

Authors

  • Aman ullah
  • Nazir Shah
  • Shams -ur- Rehman
  • Salma Ataullah

Abstract

Background: Stroke is rapidly developing phenomena of symptoms and signs of focal, and at timesglobal, loss of cerebral function with no apparent cause other than that of vascular origin. TheObjective was to know the frequency of cerebral infarction and haemorrhage in one hundred patientsof stroke in a period of one year. Methods: Data was collected by consecutive sampling technique.Total one hundred patients of stroke were collected for the study. They were assessed through adetailed history of hypertension, diabetes mellitus, smoking, previous stroke, transient ischemicattack (TIA), previous myocardial infarction, angina, atrial fibrillation, alcohol intake, drugs used forhypertension/diabetes mellitus. Blood pressure was recorded at arrival and 24 hours after admission.Results: There were 70% males and 30% females. Twenty percent of the patients were in the agerange of 51–60 years, 26% of the patients were in the age range of 61–70 years and 18% were in theage range of 71–80 years. Cerebral infarction was present in 72% patients while cerebralhaemorrhage was present in 28% patients. Hypertension was the most common risk factor amongthese stroke patients. Average blood pressure was 180/100 mmHg. Conclusion: Cerebral infarctionis the commonest form of stroke. Hypertension is the leading risk factor in stroke patients.Keywords: Cerebral Infarction, Cerebral haemorrhage, Hypertension, Stroke

References

Shah FU, Salih M, Saeed MA, Tariq M. Valididty of Siriraj

stroke scoring. J Coll Physcians Surg Pak 2003;13:391–3.

Khan JA, Shah MA, young stroke-clinical aspects. J Coll

Physicians Surg Pak 2000;10:461–6.

Brown MM. Stroke: epidemiology and clinical features. Med Int

neural 2000;10:45–52.

Alam I, Haider I, Wahab F Khan W, Taqweem MA,

Nowsherwan. Risk factors stratification in 100 patients of acute

stroke, J Postgrad Med Inst 2004;18:583–91.

Ahmed MM, Nasarullah M. Study of clinical presentation versus

CT findings regarding the type of lesion in stroke. Pak J Neurol

;10:17–22.

Rehman SU, Khan MA. Clinical versus CT Scan diagnosis in

stroke: a comparative study of 50 cases. J Ayub Med Coll

;14:2–5.

Demchuk AM, Coutts SB. Alberta stroke program early CT

score in acute stroke triage. Neuroimaging Clin North Am

;15:409–19.

Kidwell CS, Chalela JA, Saver JL, Starkman S, Hill MD,

Demchuk AM, et al. Comparison of MRI and CT for detection of

acute intracerebral hemorrhage. J Am Med Assoc

;292:1823–30.

Khan NZ, Iqbal Z. Cerebrovascular disease, increasing incidence

of primary intracerebral haemorrhage – a preliminary report of

cases. Pak J Neurol 1999;5:45–9.

McFarlane SI, Sica DA, Sowers JR. Stroke in patients with

diabetes and hypertension. J Clin Hypertens (Greenwich)

;7:286–92.

Ali L, Jamil H, Shah MA. Risk factors in stroke. J Coll

Physicians Surg Pak 1997;7:7–10.

Shafqat S. Clinical guidelines for the management of ischemic

stroke in Pakistan. J Pak Med Assoc 2003;53:600–2.

Khan A, Sherin A, Ahmad H, Khalil MA. Acute complications

of stroke. J Postgrad Med Inst 2004;18:220–4.

J Ayub Med Coll Abbottabad 2009;21(4)

http://www.ayubmed.edu.pk/JAMC/PAST/21-4/Amanullah.pdf 105

Qureshi MA, Jamshaid TD, Siddiqui AM. Stroke–A study of

clinical patterns and risk factors. Ann KE Med Coll

;9:98–100.

Basharat RA, Yousaf M, Iqbal J Khan MM. Frequency of known

risk factors for stroke in poor patients admitted to Lahore General

Hospital in 2000. Pak J Med Sci 2002;18:280–3.

Basharat RA, Ellahi A, Tariq M, Saeed A. One-month audit of

stroke at PIMS. Pak J Neurol 1999;5:12–6.

Sherin A, Shabbier G, Rehman S, Shah NH, Zarif M.

Hypertension in acute ischemic and haemorrhagic stroke. J

Postgrad Med Inst 2005;19:220–5.

Khealani BA, Syed NA, Maken S, Mapari UU, Hameed B, Ali S,

et al. Predictors of ischemic versus hemorrhagic stroke in

hypertensive patients. J Coll Physicans Surg Pak 2005;15:22–5.

naseem A, Mahmood, Hussain T, Khan IA. Clinical spectrum of

stroke in our adult population. Pak Armed Forces Med J

;53:59–67.

Koch S, Pabon D, Rabinstein AA, Chirinos J, Romano JG,

Forteza A. Stroke etiology among Haitians living in Miami.

Neuroepidemiology 2005;25:192–5.

Hannan MA, Rahman MM, Haque A, Ahmed HU. Stroke:

Seasonal variation and association with hypertension.

Bangladesh Med Res Counc Bull 2001;27:69–78.

Jones CA, Nagpal S. An update: women, hyptension and

therapeutic efficacy. Can J Cardiol 2001;17:1283–9.

Iqbal I, Hussain S, Hassan M. Hypertension, diabetes mellitus

and hypercholesterolaemia as risk factors for stroke. Pak J Med

Res 2003;42:17–22.

Ramirez MF, Tibayan RT, Marinas CE, Yamamoto ME,

Caguioa EV. Prognostic value of hemodynamic findings from

impedance cardiography in hypertensive stroke. Am J Hypertens

;18(2 Pt 2):65S–72S.

Flossmann E, Rothwell PM. Family history of stroke in patients

with transient ischemic attach in relation to hypertension and

other intermediate phenotypes. Stroke 2005;36:830–5.

El-Atat F, Rundek T, Sowers JR, McFarlane SI. Stroke

prevention in diabetic and other high cardiovascular risk patients.

Curr Diab Rep 2005;5:200–7.

Liu XF, van Melle G, Bogousslavsky J. Analysis of risk factors

in 3901 patients with stroke. Chin Med Sci j 2005;20:35–9.

Spence JD. Stroke prevention in the high-risk patient. Expert

Opin Pharmacother. 2007;8:1851–9.

Li C, Engstrom G, hedblad B, Berglund G, Janzon L. Blood

pressure control and risk of stroke: A population based

prospective cohort study. Stroke 2005;36:725–30.

Potter J, robinson T, Ford G, James M, Jenkins D, Mistri A, et al.

CHHIPS (Controlling Hypertension and Hypertension

Immediately Post-stroke) Pilot Trial: rationale and design. J

Hypertens 2005;23:649–55.

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Published

2009-12-01