The Study of Stroke due to intra cranial atherosclerosis in Population of Bihar

in Population of Bihar

  • Deepak Karn Assistant Professor and Head of the Department Neurosurgery Shri krishna Medical College and Hospital Muzaffarpur-842001, Bihar
Keywords: MRA, HTN, DM, Homocystine, recurrence


Background: Ischemic stroke is quite heterogeneous in its patho-physiological mechanism associated with atherosclerosis. Little is known about measures for prevention of the disease apart from latest technologies and medications.

Method: 100 patients of different age groups were studied with MRA, to rule out occlusion or lesion; tropical distribution of infarction, clinical manifestations, recurrence after treatment was also noted.

Results: Clinical manifestations included 33% alcoholic, 21% homocystine, 80% HTN, 54% DM, 30% Hyper-lipidemia, 35% smoking, 48% HTN + DM, 17% HTN + DM +Hyper-lipidemia, 7% HTN + DM + Hyper-lipidemia, + smoking + Alcohol. Highest occlusion was observed 51 (39.9%) in MCA followed by 20 (14.4%) ICA, 23 (16.6%) BA, 18 (13.04%) VA and least was 2 (1.4%) in VA+BA. Highest tropical distribution of infarction was 28% cortical followed by 24% sub cortical and cortical, 23% cortical, 11% cerebellum, 8% Brainstem and recurrence was observed in 19% patients.

Conclusion: The present pragmatic study will help for efficient management and risk control for Neuro-physician and neurosurgeon because risk factor control remains the best strategy for preventing recurrence because recurrence of the stroke worsen the physical and mental conditions of the patients.


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