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Acta Biomedica Scientia

Volume 1, Issue 2, 2013
Mcmed International
Acta Biomedica Scientia
Issn
2348 - 215X (Print), 2348 - 2168 (Online)
Frequency
bi-annual
Email
editorabs@mcmed.us
Journal Home page
http://mcmed.us/journal/abs
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Abstract
Title
EVALUATION OF ETIOLOGY, RISK FACTORS AND SURGICAL TREATMENT OUTCOME IN STROKE PATIENTS
Author
Rama Krishna G1* and Jagadesh Babu K2
Email
mamatakhmm@gmail.com
keyword
Ischaemic stroke; Intracerebral hemorrhage; Glasgow Coma Scale; Middle cerebral artery infarction; Cerebellar infarction.
Abstract
The present was undertaken to evaluate the outcome of stroke patients who have been subjected to surgery after all the conservative measures. The outcome has been analyzed with respect to the type of stroke, age of the patient, sex of the patient, hypertension, and interval from onset of ictus to treatment. A total of 48 patients of stroke both hemorrhagic and ischemic which were included as per the inclusion criteria. The results of the present study showed, 6 cases out of 48 were ischemic stroke and 42 cases were hemorrhagic where majority of the cases were in the age group of 41 to 50 with a male of female ratio 2.5:1. In the present study, the mortality was above 50% in patients with history of Hypertension, smoking and alcoholism. The present study, also shows that patients were taken up for surgery within 24 hours of onset of ictus showed lesser mortality rate when compare with other time intervals. In the present study, where 6 cases of ischemic stroke were subjected to decompressive craniectomy, there was 75% mortality with Middle cerebral artery infarction infarcts and 50% mortality with cerebellar infarcts. In the present study, there was 82% mortality in patients with Glasgow Coma Scale (GCS) <8 compared to 42% in patients with GCS>10. To conclude, younger the age of the patient, better was the outcome. Early surgical intervention was associated with better outcome.
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