Abstract

To determine clinical profile of patient with ischemic stroke in geriatric population. To determine the risk factors of ischemic stroke in geriatric patients 3. To determine outcome of ischemic stroke in geriatric patients. Material and Methods: One hundred patients with ischemic stroke of both genders were enrolled in the study. CT/ MRI of the brain was performed. Risk factors such as smoking, alcoholism, diabetes, hypertension, obesity, dyslipidaemia, past CAD, CVD, family history of stroke etc. and clinical features were recorded. Results: Out of 100 patients, males comprised 60 (60%) and females 40 (40%). Maximum cases were seen in age group 70-80 years (60) followed by >80 years (26) and 60-70 years (14). The difference was significant (P< 0.05). Common clinical features observed were hemiplegia/hemiparesis in 54, cranial nerve involvement in 26, speech disturbances in 8, altered sensorium in 4, seizures in 5 and gait abnormalities in 3 patients. The difference was significant (P< 0.05). Right side hemiplegia/hemiparesis was seen in 30 patients and left side in 24. Out of 26 cases of cranial nerve involvement, seventh nerve was involved in 65%, third in 23%, seventh+ twelfth in 7% and nineth+ tenth in 5%. The difference was significant (P< 0.05). Common risk factors observed were dyslipidaemia in 28, diabetes in 43, hypertension in 52, alcoholism in 21, smoking in 38, obesity in 15, past CAD in 7, past CVD in 5, family history of stroke in 4, diabetes in 43, hypertension in 52, alcoholism in 21, smoking in 38, obesity in 15, past CAD in 7, Past CVD in 5 and family history of stroke in 4 patients. The difference was significant (P< 0.05). Arteries involved were middle cerebral artery in 72, anterior cerebral artery in 16, posterior cerebral artery in 8, middle cerebral artery+ anterior cerebral artery in 2 and middle cerebral artery+ posterior cerebral artery in 2 cases. The difference was significant (P< 0.05). Out of 100 patients, fully recovered were 26, partially recovered were 58 and 16 died. The difference was significant (P< 0.05). Conclusion: Maximum cases of ischaemic stroke were seen in males. The most common age group involved was 70-80 years. Hemiplegia/hemiparesis was the most common clinical feature among patients observed in right side/ Hypertension, Diabetes and smoking were common risk factors identified. Middle cerebral artery was commonly involved. Seventh cranial nerve was maximally involved.

Description

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