Evaluation of stroke (CVD) patients using computed tomography (CT) at a peripheral medical college hospital in Bangladesh

Abstract

As cerebrovascular disease (CVD) is one of the leading causes of morbidity & mortality in adult life, this retrospective study was performed to see the clinical presentation, risk factors, neurological presentation, pattern of brain strokes and areas of brain affected as per CT scan findings in patients at Monno Medical College & Hospital, Manikganj, from 1st January 2018 to 31st December 2018. In the study it was observed that, cerebrovascular strokes were more common in males (46.73%) than females (34.95%). Most common age group was 61-70 years (33.86%). Most common clinical feature was hemiplegia (51.21%). Most common risk factor was hypertension (39.92%) followed by smoking (20.99%), diabetes mellitus (17.96%), past H/O CVD (14.92%) and dyslipidemia (13.47%). The most common type of stroke was ischemic (81.68%) and hemorrhagic was (18.32%). In ischemic stroke most commonly involved areas were parietal (31.06%) & frontal (15.37%) lobes. In hemorrhagic stroke, most common site was thalamus (5.09%) followed by basal ganglia (3.64%). CT scan remains the useful technique for diagnosis of stroke (cerebrovascular diseases – CVD) because rational management of stroke depends on accurate diagnosis and it should be ideally done in all cases.