A clinical study of ischemic stroke from capital of Gujarat, India

• Main Authors: Chirayu Vijaykumar Vaidya, Drusty Krishnasevak Majmudar
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2015-01-01
• Series: Sahel Medical Journal
• Subjects: Hypertension; ischemic stroke; middle cerebral artery; smoking
• Online Access: http://www.smjonline.org/article.asp?issn=1118-8561;year=2015;volume=18;issue=4;spage=177;epage=181;aulast=Vaidya

Background: Cerebrovascular diseases rank first in frequency and importance among all neurologic diseases. Acute ischemic stroke, a subtype of acute stroke is one of the leading causes of death and major cause of morbidity and mortality throughout the world. The incidence is increasing with a gradual increase in obesity, diabetes mellitus, dyslipidemia, hypertension, and some other cardiac problem. Aims: The aim of the study was to identify the risk factors, assess various clinical and radiological features with patients attending Gujarat Medical Education Research Society (GMERS) Medical College and General Hospital in capital city Gandhinagar in Gujarat state. Subjects and Methods: This is a retrospective study of all patients managed for ischemic stroke at GMERS Medical College and Hospital, Gandhinagar, Gujarat from January 1, 2012 to December 31, 2013. Results were analyzed with SPSS version 21 software. Results: The mean age was 60.20 years. Majority (32%) were in age group of 61–70 years young ischemic stroke (age ≤45 years) comprised of 17.14% of all patients. The male to female ratio was 1.6:1 with male predominance. Most of the patients (50.3%) were having right hemiplegia followed by left hemiplegia (40%). The common clinical presentation was hemiplegia (49.1%) followed by speech involvement (29.1%), altered sensorium (9.4%). Most common risk factor was hypertension (30.1%) followed by previous history of stroke (16.1%), dyslipidemia (15.6%), and smoking (15.1%). The frequent site of the infraction was parietal (33.3%) followed by frontal (16.2%) and basal ganglia (10.7%). Conclusion: Incidence of ischemic stroke was more in the age group of 61–70 years with male predominance and hypertension was the most common risk with affection of middle cerebral artery territory.