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Date Published: 03/11/2023
Abstract Views: 368
Views PDF: 526
DOI: 10.58490/ctump.2023i66.2050
Issue
No. 66 (2023)
Section
Article
How to Cite
Luong , Q. T., Tran , C. C., & Nguyen, V. T. (2023). RESEARCH ON CLINICAL FEATURES, IMAGING AND THE RELATIONSHIP TO THE SEVERITY OF PATIENTS WITH CEREBRAL INFARCTION AND EXTRACRANIAL CAROTID ARTERY STENOSIS AT S.I.S CAN THO INTERNATIONAL GENERAL HOSPITAL IN 2022-2023. Cantho Journal of Medicine and Pharmacy, 66, 222-229. https://doi.org/10.58490/ctump.2023i66.2050

RESEARCH ON CLINICAL FEATURES, IMAGING AND THE RELATIONSHIP TO THE SEVERITY OF PATIENTS WITH CEREBRAL INFARCTION AND EXTRACRANIAL CAROTID ARTERY STENOSIS AT S.I.S CAN THO INTERNATIONAL GENERAL HOSPITAL IN 2022-2023

Quang Triet Luong 1, , Chi Cuong Tran 2, Van Tuan Nguyen1
1 Can Tho University of Medicine and Pharmacy
2 S.I.S Can Tho International General Hospital

Main Article Content

Abstract

Background: Cerebral infarction has become a significant medical issue worldwide. However, a group of patients with extracranial carotid artery stenosis has not yet been thoroughly studied, despite its substantial prevalence. Objectives: To describe the clinical features, imaging and investigate the relationship with the severity of cerebral infarction patients with extracranial carotid artery stenosis. Materials and method: A cross-sectional descriptive study was conducted on 30 cerebral infarction patients with extracranial carotid artery stenosis over 18 years of age, who hospitalized and treated at S.I.S Can Tho International General Hospital. Results: The mean age of the study subjects was 64.4 ± 16.1, men accounted for 56.7%. History of hypertension was the major risk factor with 96.3%. All symptoms appear suddenly (100%), of which the most common are hemiparesis (80%) and speech disorders (73.3%). Only 13.3% of patients had old infarcts on CT film, most of them had middle cerebral artery lesions (43.3%) and multiple infarcts (90%). The patients were classified based on the NIHSS, the majority falling into the moderate category (46.7%) followed by severe (36.7%). There was a relationship between outcomes according to mRS and NIHSS subgroup at admission, the difference was statistically significant (p=0.002). Conclusion: Patients with cerebral infarction and extracranial carotid artery stenosis had typical features such as sudden onset, hemiparesis and speech disorders. The image on computed tomography was mainly the first infarction, in many locations from a main cerebral artery branch. Evaluation using NIHSS indicates that most patients have moderate to severe levels of impairment. There was a relationship between severity according to NIHSS scale at admission and outcome according to mRS.

Keywords

Cerebral infarction, extracranial carotid artery stenosis, NIHSS, mRS

Article Details

References

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