RESUMO
Introduction: Severe strokes, particularly subarachnoid bloodloss is frequently seen with a variety of electrocardiographicalterations. Also, various primary cardiac conditions, likemyxoma, endocarditis, mural thrombus and atrial septal defectalong with deep vein thrombosis, could also lead to cerebralemboli; heart block, arrhythmias and decrease in cardiacreturn, that may lead to cerebral ischemia. The present studywas conducted with the aim to determine association betweenECG abnormalities and intracranial lesions.Materials and methods: The present prospective studyincluded 50 subjects with raised intracranial pressure ofvarious intracranial lesions admitted to the Rajindra hospitaland visiting OPD of medicine/ neurology department. Astandard 12 lead ECG consisting of three bipolar limb leads,three unipolar limb leads and 6 unipolar chest leads was taken.ECG was first recorded within 24 hours of hospitalization andthen repeated on alternate days during first week and thereafterweekly till discharge. Probability value of more than 0.05 wasregarded as non significant.Results: There were only 1 case of p wave variationamongst 21 patients of CVA. There was no case of P wavevariation amongst patients of meningitis, ICSOL, TIH andhydrocephalous. There were 20% (n=10) cases with STsegment abnormality and rest 80% (n=40) did not demonstrateany ST segment abnormality. There were 3 cases of CVA outof 21 that had abnormal T wave. 1 out of 6 cases of meningitishad abnormal T waveConclusion: In our study, p wave, q wave showed nosignificant difference in intracerebral lesions. There were only20% cases with ST segment abnormality