scholarly journals Computed tomography scan in the evaluation of patients with stroke

2012 ◽  
Vol 8 (2) ◽  
pp. 24-31
Author(s):  
PK Chhetri ◽  
S Raut

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

2007 ◽  
Vol 37 (4) ◽  
pp. 244-245 ◽  
Author(s):  
Ahmed M El Zein ◽  
Elfateh A Bukhari ◽  
Susan Homeida ◽  
Ishag Adam

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.


2021 ◽  
Vol 11 (5) ◽  
pp. 638
Author(s):  
Ayataka Fujimoto ◽  
Keisuke Hatano ◽  
Toshiki Nozaki ◽  
Keishiro Sato ◽  
Hideo Enoki ◽  
...  

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.


2016 ◽  
Vol 25 (6) ◽  
pp. 1381-1388
Author(s):  
Antonio Muscari ◽  
Camilla Conte ◽  
Daniela Degli Esposti ◽  
Luca Faccioli ◽  
Roberta Falcone ◽  
...  

Healthcare ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 136
Author(s):  
Fei-Fei Flora Yau ◽  
Ying Yang ◽  
Chi-Yung Cheng ◽  
Chao-Jui Li ◽  
Su-Hung Wang ◽  
...  

The authors would like to make corrections to their published paper [...]


2012 ◽  
Vol 7 (1) ◽  
pp. 128-136 ◽  
Author(s):  
Maria Gonzalez ◽  
Jean-Michel Vignaud ◽  
Christelle Clement-Duchene ◽  
Amandine Luc ◽  
Pascal Wild ◽  
...  

2018 ◽  
Vol 25 (6) ◽  
pp. 366-370
Author(s):  
Jing Jing Chan ◽  
Sujata Kirtikant Sheth

Introduction: Retroperitoneal necrotizing fasciitis is an uncommon, rapidly fatal condition which often mimics other diseases. Case presentation: We report a case of an elderly woman who was referred to our Emergency Department for suspected acute appendicitis. Computed tomography scan showed an iliopsoas abscess with necrotizing fasciitis on computed tomography scan. Despite aggressive surgical treatment and early antibiotics, she passed away 3 weeks later. Conclusion: Such a case has rarely been reported in an immunocompetent patient who has had no instrumentation, surgeries, or trauma. It serves to highlight the difficulty in diagnosing retroperitoneal necrotizing fasciitis, especially in the elderly patient, as well as the need to recognize it early in the Emergency Department.


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