TITLE:
Clinical and Brain Computed Tomographic Profile of Stroke Patients in a Tertiary Hospital, North Central Nigeria
AUTHORS:
Isaac Terkimbi Annongu, Emmanuel Uzodinma Iwuozo, Mohammed Oloje Hameed, Daniel Msuega Chia, Sesugh Samuel Mohammed, Ferdinand Aondohemba Mbahon
KEYWORDS:
Stroke, Risk Factors, Computed Tomography, Neuroimaging, Makurdi
JOURNAL NAME:
World Journal of Neuroscience,
Vol.12 No.4,
November
18,
2022
ABSTRACT: Background: Stroke
is a common neurological disorder associated with high morbidity and mortality
worldwide. Aim: The study set out to characterize the clinico-radiologic
pattern of stroke patients as well as to determine the correlation between the
clinical and computed tomographic (CT) scan findings in a tertiary hospital in
Makurdi, North central Nigeria. Method: This was a retrospective study
of 145 patients with clinically suspected stroke, who underwent CT imaging at
the Benue State University Teaching Hospital, Makurdi Nigeria between December
2020 and June 2022. Data were analyzed using Statistical Package for Social
Sciences (SPSS) version 26. Results: Of the 145 clinically diagnosed
cases of stroke, 122 (84.1%) were confirmed on CT. 7 (4.8%) were stroke mimics and 16 (11.0%) were normal. There were 65
(53.3%) males and 57 (46.7%) females with a male: female ratio of 1.1:1. The
mean age at presentation was 58.7 ± 12.87
years with age range of 69 - 78 years being affected most. Few cases of stroke
were seen below the age of fifty years. Ischaemic stroke was the
commonest 77 (63.1%) followed by primary intracerebral haemorrhage (ICH) 38
(31.4%) then sub arachnoid haemorrhage (SAH) 5 (4.1%). Most infarcts were below
10 cm2, while for ICH volume those below 10 cm3 and above
100 cm3 occurred in equal proportion. Hypertension was the main risk
factor for stroke with respective frequency of 31 (21.4%) and 94 (64.8%) in
isolation or associated with other risk factors like Diabetes mellitus (DM),
hyperlipidemia, alcohol, and smoking among others. There was significant
correlation between clinical and radiological diagnosis of stroke (p Conclusion: The result showed slight male preponderance with
majority of suspected stroke confirmed by CT; these were mostly of ischaemic
type. There was significant correlation between clinical and radiologic
diagnosis of stroke while hypertension was the main risk factor identified.