Detailed epidemiological analysis of cerebrovascular disease, the first study from Eastern India

Sudeb Mukherjee, Pritam Chatterjee, Kaushik Manna, Suhana Datta


Background: Prevalence of cerebrovascular diseases (CVD) is rising in India along with its morbid impact. Till now there is no study from Eastern India to reflect the current scenario of cerebrovascular diseases in this part of world. This study destined to know and analyse several epidemiologic factors behind cerebrovascular diseases in Eastern India.

Methods: 108 patients who were admitted with symptoms of stroke were analysed based on several parameters. They were investigated, treated and their outcomes were followed.

Results: Correlation between clinical findings and radiological confirmation was much more in case of infarction (65%) compared to haemorrhagic cases (22%). Superior division of the middle cerebral artery was the commonest site get involved in infarction cases and internal capsule area is the most commonly involved area in lacunar infarction almost one third of haemorrhagic patients had intraventricular extension. Most common association with this was thalamic bleeding although most common site of haemorrhage was lentiform nucleus. Among the patients with hemorrhage with intraventricular extension 50% were thalamic bleed and 50% were non thalamic bleed (mainly lentiform nucleus). In hospital mortality rate was found to be highest in non-thalamic group (63%). Overall mortality in non-thalamic bleed was higher though not statistically significant.

Conclusions: Haemorrhagic CVD is much more prevalent in this part of world compared to western population. Clinico radiologic correlation is much more in ischaemic infarction hypertension and smoking are two strong associations in cerebrovascular diseases.



CVD, Hypertension, MRI, CT scan

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