Vol. 6 No. 01 (2023)
Original Article

Prevalence and Outcome of Intracranial Artery Stenosis in Patients with Acute Ischemic Stroke in a Tertiary Care Hospital

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Ziauddin Mohammed Yahia
Classified Medicine Specialist, Combined Military Hospital, Dhaka, Bangladesh
Umar Rashed Munir
Commanding Officer, Border Guard Hospital, Dhaka, Bangladesh
Mohammad Saifur Bayzid
Classified Medicine Specialist, Border Guard Hospital, Dhaka, Bangladesh
Ghulam Kawnayn
Professor, Department of Neurology, Combined Military Hospital, Dhaka, Bangladesh
Ruhi Tahshina Rashid
Medical Officer, Border Guard Hospital, Dhaka, Bangladesh

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Abstract

Introduction: A stroke, also known as a cerebrovascular accident (CVA), remains a significant contributor to mortality and morbidity in both developed and developing nations. For individuals experiencing an acute ischemic stroke, intravenous thrombolysis can help restore neurological function if given promptly, and it is advised to be administered as soon as intracranial bleeding is ruled out through CT imaging. Aim of the study: This study aimed to analyze the prevalence and clinical outcome of intracranial artery stenosis in patients with acute ischemic stroke in a tertiary care hospital. Methods and materials: This cross-sectional observational study was conducted at a Tertiary Care Hospital in Dhaka, Bangladesh from July 2021 to July 2022. This study used a purposive sampling technique to select a total of 100 patients as the study population. Data processing and analysis were conducted using MS Office tools, and a descriptive analysis approach was adopted. Result: Intracranial artery stenosis was found in 13% of patients. Besides, 36% had occlusion, and 4% had both. Most of the patients (69%) had hypertension, 72% had diabetes, and 23% had atrial fibrillation. Notably, 92.30% achieved a good outcome after early thrombolysis and thrombectomy if needed, as per the Modified Rankin Scale score. Notably, all patients achieved a good outcome after early thrombolysis, with aspirin and clopidogrel, and with surgical intervention.  Conclusion: This study highlights acute ischemic stroke related to intracranial artery stenosis. Patients often have pre-existing conditions, emphasizing risk factor management. Timely intervention, including thrombolysis and thrombectomy, leads to favorable outcomes.

Published 28-11-2023

Keywords

  • Acute ischemic stroke,
  • Intracranial artery,
  • Thrombolysis,
  • Hypertension

How to Cite

1.
Yahia ZM, Munir UR, Bayzid MS, Kawnayn G, Rashid RT. Prevalence and Outcome of Intracranial Artery Stenosis in Patients with Acute Ischemic Stroke in a Tertiary Care Hospital. The Insight [Internet]. 2023 Nov. 28 [cited 2024 Apr. 23];6(01):125-32. Available from: https://bdjournals.org/index.php/insight/article/view/345