ABSTRACT
Background : Stroke is a common, potentially devastating disease with potential high morbidity and mortality. EEG (Electro-encephalogram), functional representation of electrical activity of brain, changes are closely tied to CBF (Cerebral Blood Flow). Thus EEG is useful to establish the location of Ischaemic CVA (Cerebro-vascular accident). It can also prognosticate Ischaemic stroke. Aims & Objectives : (1) To assess the grade and severity of clinical manifestations in acute ischaemic stroke patients by clinical scoring following admission. (2) To obtain EEG findings of ischaemic stroke patients following admission and after 1 month. (3) To assess the morbidity of ischaemic stroke patients by Modified Rankin Scale after 1 month. (4) To correlate EEG changes according to the clinical outcome and according to the site of involvement of ischaemic stroke. Materials and Methods : 90 Patients were selected during the study period as per the inclusion and exclusion criteria. Clinical scoring was done by NIHSS (National Institute of Health Scoring System). CT (Computed Tomography) scan of brain and MRI (Magnetic Resonance Imaging) Brain with DWI (Diffusion Weighted Image) extension was done. EEG findings on admission of morbidity was done by Modified Rankin Score on follow up after 1 month was noted. EEG findings after 1 month was noted on follow up. Assessment Clinical correlation was compared with EEG changes. All the data were collected and analysed by statistical software SPSS version 20. Results : The mean MRS (Modified Rankin Score) after 1 month for abnormal EEG on admission was 4.50 in comparison to score of 3.36 in case of normal EEG. The p value of this association was 0.003 and was considered significant. Conclusions : Normal EEG and focal slowing of EEG was mostly noted in MCA (Middle Cerebral Artery) and PCA (Posterior Cerebral Artery) infarcts involving the cortical region. Those with normal EEG findings had good clinical outcome in comparison to those with abnormal findings in EEG
ABSTRACT
A patient with repeated episodes of Seizures and elevated Blood Pressure for 2 days, was admitted in a primary care set up initially, followed by admission to our Institute where he was thoroughly worked up to find the possible etiology behind the presentation. Extensive investigations and imaging led to the conclusion that the patient had Idiopathic Intracranial Calcification after the possible secondary causes of Intracranial Calcification were ruled out
ABSTRACT
Stroke is the third commonest cause of mortality after heart disease and cancer. It is generally the disease of the aged. Prevalence rates of stroke very from one study to another. However, there has been a definite increase in the prevalence and incidence of stroke disorder in India over the last 30 years. Diabetes, smoking, hyperlipidaemia, hypertension are some of the risk factors found in stroke. To curb the rising trend of stroke in India, the two principal risk factors ie, hypertension and diabetes mellitus need to be strictly brought under control. The change in dietary habit to reduce intake of solid fat and complete cessation of smoking and chewing tobacco need also to be encouraged. Public awareness campaigns and health educations are most important part to combat increasing trend of stroke.