DOI: 10.36347/sajb.2018.v06i02.010

Pages: 184-194

Cerebrovascular accident is a global health problem and leading cause of mortality and morbidity worldwide including India. This study aims to identify the risk factors in Cerebrovascular accidents and associated prognosis with reference to these risk factors among 100 subjects was studied. Most of the patients belonged to 70 years and above age group (51%). CVA was more common in males (61%). Motor weakness was the common presenting symptom (64%). Hypertension was the predominant risk factor (70%) followed by Diabetes mellitus (39%), smoking (35%), dyslipidaemia (31%), alcohol (27%), heart disease (17%), carotid stenosis (14%), family history of stroke (11%), history of TIA (6%) and drug induced CVA (3%). Ischemic stroke (82%) was more common than haemorrhagic stroke (18%). One month mortality rate of 9% was observed in this study. Advancing age, male sex, hypertension, diabetes mellitus, smoking, dyslipidaemia, alcohol consumption, heart disease, carotid stenosis, family history of stroke, past history of TIA, drug induced CVA were the risk factors identified in this study. Low GCS, MCA territory infarct, Trans tentorial herniation, SAH, intraparenchymal haemorrhage with hematoma volume > 30 cc and intraventricular extension were associated with poor prognosis. Ischemic stroke was more common than haemorrhagic stroke.