Background: Stroke or cerebrovascular accident (CVA) is the leading causes of morbidity and mortality in adult life. It is coming next to coronary heart disease and cancer as 3^rd leading cause of death. The aim of this study is to evaluate the clinical presentation, risk factor and common anatomical site of brain in strokes patients.

Methods: This is a record based study taking 137 patients managed for stroke  from July 2016 to December 2016. Computerised tomography (CT scan) was done in all patients.

Results: Out of 137 patients of cerebrovascular stroke, 86 are male & 51 female ranges from 26 years to 91 years with mean age is being (67±15.6) years.  The male to female ratio is being 1.7:1. The cerebrovascular strokes are more common in males (62.7%) than females (37.3%). Most common age group is 61-70 years (37.3%) and the commonest clinical feature is hemiplegia (72.2%) followed by speech involvement (37.9%). Maximum cases presented with hypertension (57.7%) followed by dyslipidemia (23.4%). Ischemic stroke (70%) is higher than hemorrhagic (30%). most common site of hemorrhage is basal ganglia (43.9%) followed by thalamus (14.6%), both ventricular and cerebellar constitute 9.7% each. The most common site of infarction was parietal (41.7%), followed by basal ganglia (16.7%) and frontal (12.5%).

Conclusions: The cerebrovascular stroke is having hypertensive male predominance and the common clinical presentation is being hemiplegia followed by speech involvement which is more common compare to other studies.

Abbreviations: CVA- Cerebro Vascular Accident.

Keywords: CVA, Ischemic stroke, Hemorrhagic stroke.

1. Epidemiology of non-communicable diseases: stroke, Park’s Text Book of Preventive and Social Medicine: 18^th: edition: 197-268
2. Bath Machin, S. Day. Textbook of Clinical Trials. 2nd Edn. Hoboken: Wiley. 2006: 179-180.
3. Adams & Victor’s Principles of Neurology.7th Edn: pp: 888-95.
4. Brain’s Diseasesof nervous system, 10^th Edn-Walton: Page: 197-268.
5. Feigin V, Lawes C, Bennet D, Barker Cello S, Parag V. Worldwide stroke incidence and early case fatality in 56 population based studies: a systematic review. Lancet Neurol. 2009: 8(4):355-
6. Shah B, Mathur P. WHO Report. New Delhi: Division of Non Communicable Diseases, ICMR: 2006: 1-33.
7. P. Eapen, J. H. Parikh, N. T. Patel. A study of clinical profile and risk factors of cerebrovascular stroke. Guj Med J. 2009: 64(2):47-54.
8. Maskey A, Parajuli M, Kohli SC. A study of risk factors of stroke in patients admitted in manipal teaching hospital, Pokhara. Kathmandu Univ Med J (KUMJ). 2011: Oct-Dec: 9(36):244-7.
9. Ukoha OB, Ajaegbu O, Eke CO. A review of stroke cases in a military hospital in Nigeria. AFRIMEDIC J. 2012: July-Dec: 3(2):30-3.
10. Naik M, Rauniyar RK, Sharma UK, Dwivedi S, Karki DB. Clinico Radiological profile of Stroke in eastern Nepal: A computed tomography study. Kathamandu University Medical Journal 2006: Vol 4, Issue 14: 161-166.
11. Chitrambalam, Dipti Baskar, S. Revathy. A study on stroke in young and elderly in Rajiv Gandhi government general hospital, Chennai.Int J Clin Med. 2012:3:184-9.
12. Pinhero L, Damodar S, Roy AK. Risk factors in stroke: a prospective study. J Assoc Physician India.2000 Jan: 48:72-6.
13. Abdul-Rahman Sallam, Khalid Al-Aghbari. The clinical profile of stroke: a Yemeni experience. J Med J. 2009:43(2):115-21.
14. Devichand, Karoli RK. A study of cerebrovascular strokes. J Indian Med Assoc. 1991: Jan:36(12):62-5.
15. Depmala A Budhrani and Promod R Jha. Clinico radiological study of stroke. Journal of research in medical and dental science 2016: Vol 4/Issue 3 July: 243-247.

Dharma Niranjan Mishra

Assistant Professor, Department of Anatomy S. C. B. Medical College Cuttack753007, Odisha, India

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.