Abstract

To study on clinic radiological pattern of posterior circulatory stroke. Methodology: It was a Hospital based prospective analytical study. A period of one year from the date of approval by institutional scientific and ethical committees. Taken from Department of General Medicine, Emergency Medicine SVRRGGH, TIRUPATI. The study include Patients who are fulfilling the inclusion and exclusion criteria.50 Inclusion Criteria Patients who had signs and symptoms of posterior circulation stroke. Results: The mean age of our study population is 60.54 years. In our study of 50 patients with PCS, 64% of patients were male and 36% were female, showing male predominance in our study. In our study of 50 patients, Hypertension was the major risk factor which was present in 35 patients (70%) of our study population, followed by Diabetes in 24 (48%) patients, Alcoholism (38%), hyperlipidaemia (38%), Smoking (36%), and coronary artery disease (24%). In our study population, Altered sensorium was the most common symptom (46%) followed by Giddiness (34%), Vomiting (22%) and Headache (6%). In our study population, Motor weakness was the most common sign (34%) followed by Seizures (20%), Visual field defects (10%) and Cerebellar signs (4%). In our study population, 84% of the patients had Ischemic stroke and 16% of patients had Haemorrhagic stroke. Conclusion: The study concluded that, the most common site of involvement in posterior circulation ischemic stroke in our study was Cerebellar infarct followed by multiple site infarcts, Brainstem infarct and pontine infarct. The most common radiological finding among Haemorrhagic stroke in our study population was Cerebellar, Occipital, and pontine haemorrhage in 2 patients and brainstem haemorrhage in one patient. One patient had multiple site haemorrhage.

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