Assessment of epidemiological factors and clinical profiles of cerebral infarction cases in tertiary health center in southern Maharashtra and hence evaluating computed tomography as its diagnostic modality: a prospective study

Nitin Jadhav, Vikram Rode


Background: Cerebrovascular accidents are one of the leading causes of death in developed countries. The advent of CT in early 1970s greatly facilitated the diagnosis and management of stroke. The present study aims at assessing epidemiological factors and clinical presentation of cerebral infarction cases and hence to evaluate computed tomography as a diagnostic tool for cerebral infarction.

Methods: A prospective study was carried out among cases of Cerebral infarction. Every patient was interviewed personally, and detailed history was taken followed by clinical, systemic and neurological examination. Results were analysed comparing clinical diagnosis, sites of lesions, nature of lesions and CT scan findings.

Results: Cases showed male predominance with 69% cases and 31% were females. 19% cases presented with headache, 17% with convulsions and 9% with vomiting. Upon eliciting past history of cases, we found that 48% were known cases of hypertension, 23% were having past history of cerebrovascular episodes, 20% cases were smokers and tobacco chewers whereas 15% were known cases of diabetes mellitus.

Conclusions: Currently India is facing double burden of communicable and non-communicable diseases, and now a day’s cases of non-communicable diseases have started increasing, following iceberg phenomenon. So, diagnosing these conditions in its initial stage and halting the disease progress will be the priority. The present study recommends a comprehensive model for non-communicable disease prevention and control based on current healthcare needs and disease scenario.


Cerebrovascular accidents, Cerebral infarction, Computed tomography, Non-communicable diseases

Full Text:



Babita SS, Singh GN. Study on role of CT in cerebrovascular accidents in a tertiary care hospital. Inter J Contemporary Medic Res. 2017;4(4):933- 934.

Kumar LT, Gore VN, Patil GC. The role of computed tomography in the evaluation of cerebrovascular accidents. Int J Res Med Sci. 2016;4:4305-9.

Vymazal J, Rulseh AM, Keller J, Janouskova L. Comparison of CT and MR imaging in ischemic stroke. Insights into imaging. 2012;3(6):619-27.

Eapen RP, Parikh JH, Patel NT. A study of clinical profile and risk factors of cerebrovascular stroke. Gujarat Med J. 2009;64(2):47-54.

Ojaghihaghighi S, Vahdati SS, Mikaeilpour A, Ramouz A. Comparison of neurological clinical manifestation in patients with hemorrhagic and ischemic stroke. World J Emer Medic. 2017;8(1):34.

Sinha R, Karim AR. Role of Computed Tomography in Evaluation of Cerebrovascular Accidents. Ann Int Med Den. Res. 2017;3(2):RD35-RD39.

Sotaniemi K A, Pyhtinen J, Myllylä J. Correlation of clinical and computed tomographic findings in stroke patients. Stroke. 1990;21:1562-1566.

Lövblad KO. Neuroimaging of the ischaemic penumbra. Schweizer Archiv für Neurologie und Psychiatrie. 2004;155(7):309-14.

Massaro AR, Sacco RL, Scaff M, Mohr JP. Clinical discriminators between acute brain hemorrhage and infarction: a practical score for early patient identification. Arquivos de neuro-psiquiatria. 2002;60(2A):185-91.

Harring HP, Dilitz E, Pallua A, Hessenberger G, Kampfl A, Pfausler B, et al. Attenuated cortico medullary contrast: An early cerebral CT sign indicating malignant middle cerebral artery infarction. Stroke. 1999;30:1076-82.

Jager R, Saunder D, Murray A. Cranial and intracranial pathology and Cerebro vascular disease and non-traumatic intracranial haemorrhage. In: Grainger RG, Allison DJ, Ardam A, Dixon AK eds. Diagnostic radiology. 4th edition. London: Churchill Livingstone. 2001:2351-76.