Territorial location of cerebral infarcts on imaging in patients with first ever stroke with diabetes

Authors

  • Nirmalendu Bikash Bhowmik Associate Professor of Neurology, BIRDEM General Hospital & Ibrahim Medical College, Shahbag, Dhaka
  • Mohammad Saifuddin Assistant Registrar, Neurology, BIRDEM General Hospital & Ibrahim Medical College, Shahbag
  • Rajib Bhadra Resident Trainee doctor, Department of Neurology, BIRDEM General Hospital & Ibrahim Medical College, Shahbag, Dhaka
  • Md Rashedul Islam Registrar, Neurology, BIRDEM General Hospital & Ibrahim Medical College, Shahbag, Dhaka
  • Rumana Habib Registrar, Neurology, BIRDEM General Hospital & Ibrahim Medical College, Shahbag, Dhaka
  • Aminur Rahman Associate Professor of Neurology, BIRDEM General Hospital & Ibrahim Medical College, Shahbag, Dhaka.
  • Md Zahid Hassan Professor, Dept of Physiology & Molecular Biology, BUHS, Mirpur-1, Dhaka-1216
  • Md Amirul Haque Professor of Neurology, BIRDEM General Hospital & Ibrahim Medical College, Shahbag, Dhaka

DOI:

https://doi.org/10.3329/bccj.v2i1.19951

Keywords:

Stroke, Cerebral Infarcts, Diabetes mellitus

Abstract

Aims: The study was aimed to evaluate vascular territories of infarcts involved in patients with stroke for the first time with diabetes on CT and/ or MRI of brain.

Methodology: This cross sectional descriptive study was carried on a total of 100 adult patients with first ever stroke consecutively reported in the Department of Neurology, BIRDEM General Hospital, Dhaka, over a period of six months.

Results: The mean age was 61.45 years and majority (35%) belongs to age group of 50-59. Ten (10%) subjects had age above 80 years. Male were 68% and 32% were female. Majority (89%) of the subjects had hemiplegia following acute stroke. Aphasia (71%), headache (39%), convulsion (23%), vomiting (18%) and cranial nerve palsy (17%) were also found. Additional preexisting risk factors were hypertension (72%), dyslipidaemia (59%), smoking (56%) and alcohol abuse (2%). Among the study subjects the diabetic complications were peripheral vascular disease (4% ), neuropathy (8%), nephropathy( 9%)and retinopathy(25%). CT scan and/ or MRI brain showed parietal lobe lesion in 57% cases. Majority (76%) had infarcts in middle cerebral artery territory. Involvement of anterior and posterior cerebral artery territory was found in 7% and 5% subjects respectively. Vertebro-basilar arterial system involvement was observed in 6% cases. 4% subjects had involvement of both middle and posterior cerebral arteries. Both anterior and posterior arterial territory infarcts were found in 2% cases.

Conclusions: In conclusion most of the diabetic subjects with first ever ischemic stroke had involvement of middle cerebral artery.

DOI: http://dx.doi.org/10.3329/bccj.v2i1.19951

Bangladesh Crit Care J March 2014; 2 (1): 16-20

Downloads

Download data is not yet available.
Abstract
217
PDF
155

Downloads

Published

2014-08-11

How to Cite

Bhowmik, N. B., Saifuddin, M., Bhadra, R., Islam, M. R., Habib, R., Rahman, A., Hassan, M. Z., & Haque, M. A. (2014). Territorial location of cerebral infarcts on imaging in patients with first ever stroke with diabetes. Bangladesh Critical Care Journal, 2(1), 16–20. https://doi.org/10.3329/bccj.v2i1.19951

Issue

Vol. 2 No. 1 (2014)

Section

Original Articles

License

Upon acceptance for publication the copyright of the paper automatically transfers to the BCCJ and will not be published elsewhere either in part or whole without written permission of the copyright holder.

Except for personal use, no part of the materials published in this journal may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, photocopying, recording or otherwise without the prior written permission of the publisher.