Correlation between clinical and computer topography findings in patients of stroke

Stroke is one of the common diseases among medical problems,giving rise to a lot of morbidity and mortality. stroke is third leading cause of death and important cause of hospital admission after cancer and ischemic heart diseases in the industrialized 60. clinical presentation of stroke is very variable pathologically. strokes are either an infraction or hemorrhage in distinguishing cerebral infarction from hemorrhage. this study was conducted to correlate clinical features with computed tomography findings in patients having cerebral vascular accidents. in this study 100 patients admitted through accidents and emergency ward having clinical diagnosis of stroke were enrolled. after history taking and physical examination clinical diagnosis was made and confirmed by c.t scan. the age range was 16-90 years,most common age group was 50-70 years (64%) between 71-90years (38%) and less than 40 years were 9 patients (18%). out of 100 patients 58(58%) were male and 42(42%) were females. the hemorrhagic stroke was found in 36 patients (36%) while ischemic in 64 patients (64%). the most common clinical presentation was hemi paresis (68%),the rest of patients were those who presented with quadreparesis 10%,loss of consciousness 10%,headache 28% and fits 12%. headache and seizures were more common in patients who had hemorrhagic stroke. clinically,58 patients (58%) were diagnosed as ischemic stroke and 42(42%) as hemorrhagic,but c.t scan findings. the correlation was very significant (p value 0.002). the sensitivity of clinical diagnosis remained 93%. there was a strong correlation between clinical findings and c.t findings in patients of stroke (p value 0.002). but clinical diagnosis is not dependable for therapeutic and prognostic purpose when planning for anticoagulation or thrombolytic therapy,the use of c.t scan is mandatory.