V. P. Kannan, C. Sundararajan, V. Somesh Vanchilingam, S. Vanchilingam
This study was conducted in a major neurological Tertiary Care Centre in Thanjavur District of Tamilnadu, India, which is a Tertiary Care Center which covers almost 5-6 Districts which has a population of around 75 lakhs. Around 5000 cases of stroke has been managed successfully in this Tertiary Care Neurology Centre during this time period of April 01, 2011 to December 31, 2016.
MATERIALS AND METHODS
In this retrospective study, data was obtained from our hospital stroke registry from April 01, 2011 to December 31, 2016. All patients who presented to our emergency room with symptoms of new onset stroke were included in this study.
70% of patients who got admitted had ischemic strokes. Males were predominant. Predominant risk factors included diabetes mellitus, systemic hypertension and dyslipidaemia. 55% patients had large artery stroke in anterior circulation. Out of these ischemic patients 9.5% underwent successful IV thrombolysis. Intra cerebral haemorrhage accounted for 18%. Cortical venous sinus thrombosis accounted for 6.6% of the total stroke population. Sub arachnoid haemorrhage was seen in 16% of total stroke population. Subdural haemorrhage was seen in 16% of total strokes. Subdural haemorrhage was seen in 2.7% of total strokes.
The incidence of stroke was far higher in the rural population than earlier estimated. The predominant stroke was ischemic. The risk factors encountered were similar except that alcohol and tobacco were the most important risk factors in the younger age group and in people of low socio economic status. The patients eligible for thrombolysis and thrombolysis rates are equivalent to the rates achieved elsewhere.