Validity of Siriraj stroke score in patients of CVA

ABSTRACT

To determine the validity of Siriraj Stroke Score in differentiation between intracerebral and cerebral infarction. Hundred patients of stroke admitted in Medical Unit-Il Sheikh Zayed Hospital, Rahim Yar Khan were selected. CT scan brain was done in all patients with clinical application of siriraj score and results were compared. Duration was one year from January 2008 to December 2008. The brain CT scans of 100 patients referred with clinical diagnosis of stroke were reviewed. Of the 100 patients with stroke and complete clinical records, 67 were males and 33 were females. The age of the patients ranged from 21 to .9 years with a mean of 60 +/- 4.3 years. Twenty six [26%] patients were comatose, on presentation and history from the relations was relied upon. Fifty-six [56%] patients had CT scan features of cerebral infarction, whilst 44 [44%] patients had features consistent with the diagnosis of intracerebral hemorrhage. Using the Siriraj stroke score, 92 [92%] patients were classified, 52 [52%] as cerebral infarction and 40 [40%] as intracerebral hemorrhage. Eight [8%] patients had indeterminate scores. It is unlikely that any score will replace brain imaging. So, until unless result of such a study is available, we contend that computed tomography scan should remain the only reliable investigation for distinguishing between intracerebral hemorrhage and cerebral infarction among Pakistanis and it should be made available and affordable