NGHIÊN CỨU TÌNH HÌNH, ĐẶC ĐIỂM HÌNH ẢNH CỘNG HƯỞNG TỪ VÀ CÁC YẾU TỐ LIÊN QUAN NHỒI MÁU NÃO TÁI PHÁT TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ NĂM 2023-2024

Abstract

  Background: The increasing rate of recurrent stroke and its consequences has received significant public attention. Objectives: To describe the prevalence, the clinical characteristics, MRI findings and some related factors of recurrent ischemic stroke. Materials and methods: A descriptive cross-sectional study of a case series of 77 patients with recurrent ischemic stroke diagnosed at the Department of Interventional Cardiology - Neurology, Can Tho University of Medicine and Pharmacy Hospital from May 2023 to August 2024. Results: The average age of patients with recurrent stroke was 68 ± 12 years, with the highest proportion in the age group >70 years.  A significant number of cases presented with limb weakness (79.22%) and speech disorders (63.64%).  There are 55 patients (71.43%) of new ischemic strokes due to the atherosclerosis in the middle cerebral artery. Related factors including physical inactivity, cardiovascular disease, dyslipidemia, and treatment nonadherence were prevalent in the study population, with 59.74% of patients having 5 or more related factors. Conclusion: In our study, recurrent ischemic stroke predominantly occurred in the age group of 70 years and older. At admission, 79.22% of patients presented with paresis, and 71.43% of cases were attributed to middle cerebral artery occlusion. Among the risk factors, a notable proportion (59.74%) of patients had 5 or more co-occurring related factors.