Stroke in CT-scan Department of Khartoum Hospital, Sudan

Prospective data were collected on consecutive patients admitted to Khartoum Teaching Hospital with a diagnosis of stroke. Risk factors and clinical characteristics were assessed by neurological examination and computed tomography scan. A total of 128 patients were enrolled in the study, of whom 74 (57.8%) were men. The age (mean±standard deviation) of the patients was 53±18.5 years. Eighty-five (66.4%) and 43 (33.6%) patients had ischaemic and haemorrhagic stroke, respectively. Hypertension, diabetes mellitus, smoking, heart disease and hypercholesterolaemia were the risk factors for stroke. Thus, further studies are needed on stroke. Hypertension should be discovered early and treated effectively.

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Computed tomography scan in the evaluation of patients with stroke

Journal of College of Medical Sciences-Nepal ◽

10.3126/jcmsn.v8i2.6834 ◽

2012 ◽

Vol 8 (2) ◽

pp. 24-31

Author(s):

PK Chhetri ◽

S Raut

Keyword(s):

Risk Factors ◽

Computed Tomography ◽

Eating Habits ◽

Cavernous Angioma ◽

The Elderly ◽

Cerebrovascular Diseases ◽

Computed Tomography Scan ◽

Stroke Risk Factors ◽

Neurology Clinic ◽

Tomography Scan

Cerebrovascular accident is a frequent cause of death and disability in most parts of the globe. The incidence of cerebrovascular diseases increases with age and the number of strokes is projected to increase as the elderly population grows. This study was undertaken to determine the type of stroke and also to relate the risks factors associated with stroke. Hundred consecutive patients presenting with stroke in the emergency department / neurology clinic were subjected to computed tomography scan of the brain. Sixty – four patients had ischemic infarct and 36 had intracranial hemorrhage which included 2 patients with subarachnoid hemorrhage and 1 with underlying cavernous angioma. Ischemic stroke was thus commoner than hemorrhagic stroke. Previous infarct or lacunes were noted in 25 % of the patients presenting with stroke. Risk factors were present in most (77 %) of the patients presenting with stroke. Among the various risk factors, the single most common was smoking seen in 38 cases, followed by hypertension in 28 cases, obesity in 8 cases and diabetes in 3 cases. Twenty- one patients had multiple combinations of the above risk factors. Among the multiple risk factors, combination of alcohol and smoking was the commonest seen in 11 cases, followed by hypertension and obesity in 8 cases and alcohol with obesity in 2 cases. Change in lifestyle and eating habits may thus help reduce the incidence of stroke. Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-2, 24-31 DOI: http://dx.doi.org/10.3126/jcmsn.v8i2.6834

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Emphysematous pyelonephritis: A rare cause of sepsis in hepatocellular carcinoma

Proceedings of Singapore Healthcare ◽

10.1177/2010105821992805 ◽

2021 ◽

pp. 201010582199280

Author(s):

Hany Haqimi Wan Hanafi ◽

Nazri Mustaffa ◽

Yeong Yeh Lee ◽

Siti Nurbaya Mohd Nawi

Keyword(s):

Diabetes Mellitus ◽

Computed Tomography ◽

Hepatocellular Carcinoma ◽

Liver Disease ◽

Chronic Liver Disease ◽

Surgical Intervention ◽

Computed Tomography Scan ◽

Emphysematous Pyelonephritis ◽

Urological Emergency ◽

Tomography Scan

The association between emphysematous pyelonephritis (EPN) and diabetes mellitus is well known. EPN as the cause of sepsis in hepatocellular carcinoma (HCC) is rare and unreported. We report a case of EPN in a non-diabetic HCC patient, in which the clinical features of decompensated chronic liver disease masked the more sinister urological emergency to a certain degree. A computed tomography scan of the abdomen revealed a mixture of gas and fluid in the left retrorenal space, in keeping with left EPN. Nevertheless, the course of clinical deterioration was rather rapid that any surgical intervention was not feasible.

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Postoperative Pneumocephalus on Computed Tomography Might Predict Post-Corpus Callosotomy Chemical Meningitis

Brain Sciences ◽

10.3390/brainsci11050638 ◽

2021 ◽

Vol 11 (5) ◽

pp. 638

Author(s):

Ayataka Fujimoto ◽

Keisuke Hatano ◽

Toshiki Nozaki ◽

Keishiro Sato ◽

Hideo Enoki ◽

...

Keyword(s):

Risk Factors ◽

Computed Tomography ◽

Risk Factor ◽

Intractable Epilepsy ◽

Epileptic Seizures ◽

Computed Tomography Scan ◽

Corpus Callosotomy ◽

Significant Difference ◽

Chemical Meningitis ◽

Tomography Scan

Background: A corpus callosotomy (CC) is a procedure in which the corpus callosum, the largest collection of commissural fibers in the brain, is disconnected to treat epileptic seizures. The occurrence of chemical meningitis has been reported in association with this procedure. We hypothesized that intraventricular pneumocephalus after CC surgery represents a risk factor for postoperative chemical meningitis. The purpose of this study was to analyze the potential risk factors for postoperative chemical meningitis in patients with medically intractable epilepsy who underwent a CC. Methods: Among the patients who underwent an anterior/total CC for medically intractable epilepsy between January 2009 and March 2021, participants were comprised of those who underwent a computed tomography scan on postoperative day 0. We statistically compared the groups with (c-Group) or without chemical meningitis (nc-Group) to determine the risk factors. Results: Of the 80 patients who underwent a CC, 65 patients (25 females and 40 males) met the inclusion criteria. Their age at the time of their CC procedure was 0–57 years. The c-Group (17%) was comprised of seven females and four males (age at the time of their CC procedure, 1–43 years), and the nc-Group (83%) was comprised of 18 females and 36 males (age at the time of their CC procedure, 0–57 years). Mann–Whitney U-tests (p = 0.002) and univariate logistic regression analysis (p = 0.001) showed a significant difference in pneumocephalus between the groups. Conclusion: Postoperative pneumocephalus identified on a computed tomography scan is a risk factor for post-CC chemical meningitis.

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549 RISK FACTORS OF POST-ENDOSCOPIC SUBMUCOSAL DISSECTION ELECTROCOAGULATION SYNDROME AND THE UTILITY OF COMPUTED TOMOGRAPHY SCAN AFTER ESOPHAGEAL ENDOSCOPIC SUBMUCOSAL DISSECTION

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2019.04.086 ◽

2019 ◽

Vol 89 (6) ◽

pp. AB94

Author(s):

Hayato Yamaguchi ◽

Masakatsu Fukuzawa ◽

Maya Suguro ◽

Taisuke Matsumoto ◽

Kumiko Uchida ◽

...

Keyword(s):

Risk Factors ◽

Computed Tomography ◽

Endoscopic Submucosal Dissection ◽

Computed Tomography Scan ◽

Submucosal Dissection ◽

Tomography Scan

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Prevalence of Stroke Risk Factors and Their Distribution Based on Stroke Subtypes in Gorgan: A Retrospective Hospital-Based Study—2015-2016

Neurology Research International ◽

10.1155/2018/2709654 ◽

2018 ◽

Vol 2018 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

Mahdi Habibi-koolaee ◽

Leila Shahmoradi ◽

Sharareh R. Niakan Kalhori ◽

Hossein Ghannadan ◽

Erfan Younesi

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Ischemic Stroke ◽

Stroke Risk ◽

Healthcare Providers ◽

Age Groups ◽

University Hospital ◽

Stroke Registry ◽

Stroke Risk Factors ◽

Stroke Subtypes

Background. Stroke is a leading cause of death and disability worldwide. According to the Iranian Ministry of Medical Health and Education, out of 100,000 stroke incidents in the country, 25,000 lead to death. Thus, identifying risk factors of stroke can help healthcare providers to establish prevention strategies. This study was conducted to investigate the prevalence of stroke risk factors and their distribution based on stroke subtypes in Sayad Shirazi Hospital, Gorgan, Northeastern Iran. Material and Methods. A retrospective hospital-based study was conducted at Sayad Shirazi Hospital in Gorgan, the only referral university hospital for stroke patients in Gorgan city. All medical records with a diagnosis of stroke were identified based on the International Classification of Diseases, Revision 10, from August 23, 2015, to August 22, 2016. A valid and reliable data gathering form was used to capture data about demographics, diagnostics, lifestyle, risk factors, and medical history. Results. Out of 375 cases, two-thirds were marked with ischemic stroke with mean ages (standard deviation) of 66.4 (14.2) for men and 64.6 (14.2) for women. The relationship between stroke subtypes and age groups (P=0.008) and hospital outcome (P=0.0001) was significant. Multiple regression analysis showed that hypertension (Exp. (B) =1.755, P=0.037), diabetes mellitus (Exp. (B) =0.532, P=0.021), and dyslipidemia (Exp. (B) =2.325, P=0.004) significantly increased the risk of ischemic stroke. Conclusion. Overall, hypertension, diabetes mellitus, and dyslipidemia were the major risk factors of stroke in Gorgan. Establishment of stroke registry (population- or hospital-based) for the province is recommended.

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Relationship Between Stroke’s Risk Factors with Daily Activities Using Modified Shah Barthel Index in Chronic Stroke Patient at RSCM

Advanced Science Letters ◽

10.1166/asl.2018.12693 ◽

2018 ◽

Vol 24 (8) ◽

pp. 6225-6231

Author(s):

S Rachmayanti ◽

W Kusumaningsih

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Logistic Regression ◽

Stroke Risk ◽

Chronic Stroke ◽

Medical Rehabilitation ◽

Stroke Patients ◽

Chi Square ◽

Stroke Risk Factors ◽

The Relationship

Hypertension and diabetes mellitus are the most common risk factors of stroke.The study aimed to determine the relationship between stroke risk factors, hypertension and diabetes mellitus, with dependency of chronic stroke patients in Department of Medical Rehabilitation RSCM. The study is conducted by using the analytical observational cross-sectional study. The samples used in this study were 44 respondents selected by quota sampling method. The relationship between variabels was analyzed by bivariate test Chi-Square and multivariate analysis: Logistic Regression. Based on Chi-Square test, relationship between MSBI scoring with hypertension and diabetes mellitus as stroke risk factors, sequentiallly p = 0,122 and p = 0,002. Furthermore, Logistic Regression test suggested that hypertension and diabetes mellitus as stroke risk factors related to MSBI scoring, respectively; hypertension p = 0,076 (OR 4,076; CI95 0,861–19,297) and diabetes mellitus p = 0,007 (OR 22,690; CI95 2,332–220,722). Discussion: Diabetes mellitus is the most prominent risk factor in severe dependecy of chronic stroke patients.

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Risk Factors for Lacunar Strokes with Visible Cerebral Lesions on Computed Tomography Scan

Journal of Stroke and Cerebrovascular Diseases ◽

10.1016/j.jstrokecerebrovasdis.2016.01.050 ◽

2016 ◽

Vol 25 (6) ◽

pp. 1381-1388

Author(s):

Antonio Muscari ◽

Camilla Conte ◽

Daniela Degli Esposti ◽

Luca Faccioli ◽

Roberta Falcone ◽

...

Keyword(s):

Risk Factors ◽

Computed Tomography ◽

Computed Tomography Scan ◽

Cerebral Lesions ◽

Tomography Scan

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248 An Evaluation of Patient Education Post-Stroke

Age and Ageing ◽

10.1093/ageing/afz103.152 ◽

2019 ◽

Vol 48 (Supplement_3) ◽

pp. iii17-iii65

Author(s):

Laura Morrison ◽

Claire McAteer ◽

Lisa Donaghy ◽

Marie O'Connor ◽

Eamon Dolan

Keyword(s):

Risk Factors ◽

Stroke Risk ◽

Haemorrhagic Stroke ◽

University Teaching ◽

Post Stroke ◽

Stroke Risk Factors ◽

Written Information ◽

Stroke Diagnosis ◽

Brain Scan ◽

Discharge Letter

Abstract Background In 2018, 212 acute strokes were diagnosed in our university teaching hospital. Our stroke service is evolving to meet the needs of this growing population. The aim of this study was to evaluate the knowledge patients have about their stroke diagnosis and identify how to improve education given post-stroke. Methods Thirty consecutive patients attending stroke clinic completed a questionnaire, including questions regarding aetiology of their stroke, medications started, driving and education received as an inpatient. Results The thirty patients were a median of 16 months post-stroke. One had a haemorrhagic stroke, all others ischaemic stroke. Only 33% correctly described the type of stroke they had. 50% correctly identified all the risk factors they had been diagnosed with, including atrial fibrillation, hypertension, hypercholesterolaemia and carotid stenosis. 70% of patients reported receiving education in hospital post-stroke. Of these, 13% received written information. 30% of patients were shown their brain scan and the majority (89%) found it beneficial. 71% of those who did not see their scan would have liked to. 52% reported knowing which medications had been started post-stroke but only 23% of patients listed new medications correctly. 43% of patients felt they did not receive enough information about new medications and 27% reported either sometimes or frequently missing medications. 77% of patients drove before their stroke. 74% of these reported that they were advised not to drive post-stroke. Of these, 35% correctly identified how long they were advised not to drive for. Only 26% of those driving before their stroke had driving advice in their discharge letter. Conclusion These results illustrate areas in which we can improve education post-stroke, including ensuring patients receive individualised information about the aetiology of their stroke, risk factors and the importance of new medications. It also highlights the importance of ensuring advice regarding driving is clearly explained and documented.

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Pro-neurotensin/neuromedin N and risk of ischemic stroke: The REasons for Geographic And Racial Differences in Stroke (REGARDS) study

Vascular Medicine ◽

10.1177/1358863x20957406 ◽

2020 ◽

Vol 25 (6) ◽

pp. 534-540

Author(s):

Charles D Nicoli ◽

Nicholas Wettersten ◽

Suzanne E Judd ◽

George Howard ◽

Virginia J Howard ◽

...

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Ischemic Stroke ◽

Racial Differences ◽

Stroke Risk ◽

Cox Proportional Hazards Model ◽

Demographic Model ◽

Stroke Risk Factors ◽

Regards Study ◽

Neuromedin N

The tridecapeptide neurotensin has been implicated in the pathogenesis of cardiometabolic disease. Its stable precursor, pro-neurotensin/neuromedin N (pro-NT/NMN), has been associated with composite cardiovascular outcomes including coronary heart disease (CHD) and stroke. The exclusive association of pro-NT/NMN with ischemic stroke has not been evaluated. We conducted a prospective case-cohort study in the REasons for Geographic And Racial Differences in Stroke (REGARDS) study. From 2003 to 2007, REGARDS enrolled 30,239 white or black adults aged ⩾ 45 years. Baseline fasting pro-NT/NMN was measured by immunoassay in the analytic sample including 448 incident ischemic stroke cases and 818 random cohort sample participants. A total of 464 ischemic strokes occurred. Risk of stroke was assessed with a Cox proportional-hazards model incorporating demographic covariates and a second adding stroke risk factors. Increased pro-NT/NMN was associated with ischemic stroke in the demographic model overall (hazard ratio (HR) per standard deviation (SD) pro-NT/NMN 1.16, 95% confidence interval (CI) 1.01–1.33) and in men (HR per SD pro-NT/NMN 1.25, 95% CI 1.04–1.50); HRs were attenuated in the risk factor model. Pre-existing diabetes mellitus and CHD were the largest confounders of ischemic stroke risk, each accounting for an estimated 19% of the association of pro-NT/NMN with ischemic stroke observed in the demographic model. There were no significant interactions of race or sex with pro-NT/NMN. Further research on associations of pro-NT/NMN with stroke risk factors such as diabetes mellitus is indicated.

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