Volume : 6, Issue : 6, June - 2017
EVALUATION OF THE ROLE OF NCT IN ACUTE STROKE
Dr. Pawan Soni, Dr. Lokesh Rana, Dr. Dinesh Sood, Dr. Khanak K. Nandolia, Dr. Pranshu Kumar
Abstract :
<p> <span style="color: windowtext; font-size: 10pt;">Objective: To study the incidence of patients seeking medical help with in thrombolytic window period</span><span style="color: windowtext; font-size: 10pt;"> </span><span style="color: windowtext; font-size: 10pt;">in stroke. Findings on NECT in acute stroke and confirmation with Perfusion CT.</span></p> <p class="MsoSubtitle" style="line-height:200%"><span class="MsoSubtleEmphasis"><span lang="EN-IN" style="font-size: 10pt; line-height: 200%; color: windowtext;">Methods: We studied 30 cases, 14 males & 16 females who attended the emergency department within 24 hours of developing symptoms of stroke. The 75% patients were above the age of 65years. All patients had NCCT within 15-30 minutes on their arrival in hospital followed by PCT.</span></span><span class="MsoSubtleEmphasis"><span lang="EN-IN" style="font-size:10.0pt;line-height: 200%;color:windowtext"><o:p></o:p></span></span></p> <p class="MsoSubtitle" style="line-height:200%"><span class="MsoSubtleEmphasis"><span lang="EN-IN" style="font-size: 10pt; line-height: 200%; color: windowtext;">Results: Six (20%) patients presented within 3 hours (thrombolytic window period). Out of these 6 patients 4 had normal NCCT and the other 2 had early signs of ischemia: hypo density with sulcal effacement was observed in these 2 patients. Fifteen (50%) cases presented with in 3 to 6 hours of symptoms.</span></span><span class="MsoSubtleEmphasis"><span lang="EN-IN" style="font-size:10.0pt;line-height:200%;color:windowtext"><o:p></o:p></span></span></p> <p class="MsoSubtitle" style="line-height:200%"><span class="MsoSubtleEmphasis"><span lang="EN-IN" style="font-size: 10pt; line-height: 200%; color: windowtext;">Conclusion: Only 6(20%) patients presented within 3 hours of symptoms and out of these 4 patients had normal NCCT and 2 patients had early signs of Ischemia. The sensitivity of NCCT in detecting Ischemia within 3 hours was only 33.33 %.</span></span><span class="MsoSubtleEmphasis"><span lang="EN-IN" style="font-size:10.0pt;line-height:200%;color:windowtext"><o:p></o:p></span></span></p>
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Cite This Article:
Dr.Pawan Soni, Dr.Lokesh Rana, Dr.Dinesh Sood, Dr.Khanak k.Nandolia, Dr.Pranshu Kumar, EVALUATION OF THE ROLE OF NCT IN ACUTE STROKE, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : VOLUME-6 | ISSUE‾6 | JUNE-2017