Sovata - Societatea de Radiologie şi Imagistică Medicală din România

C2. A TEN YEARS RETROSPECTIVE STUDY IN THE POSITIVE
DIAGNOSIS OF THE HEMORRHAGIC STROKE
M. Buruian, Gabriela Primac, Nicoleta Serban, Alina Frandes, B. Mrenes
Clinical Emergency University Hospital Targu-Mures, Department of
Radiology and Imaging
Background: Cerebral hemorrhage is an anatomo-clinical form of
cerebrovascular disease. It is usually caused by vascular break, in the
absence of any trauma, and consists in blood”s presence in cerebral
parenchyma (i.e. intraventricular, subarachnoid or meningeal space).
Objective: The aim of this study was to assess the incidence of hemorrhagic
stroke, on the in-patients from Târgu-Mures Emergency Hospital (Radiology
and Medical Imaging Unit), between 2000 and 2009. Material and method:
The study is based on 7690 patients. All of them have got a presumptive
diagnosis of Stroke Attack at the moment of internment. In order to obtain
an accurate diagnosis, the X-ray Computed Tomography method was used.
The study is pointing out the incidence of hemorrhagic stroke on topography
(i.e. right and left side of the brain), vascularized area (i.e. ACM, ACP,
ACA) and also on patients features such as age and gender. Results:
Amongst all 7690 presumptive stroke attacks, only 2420 patients were
confirmed to have an hemorrhagic stroke. The statistical analysis of the data
showed a higher incidence of hemorrhagic stroke on the patients aged 40 to
70 (i.e. 61%). However, no significant difference was pointed out between
males and females, or the right and left side incidence of hemorrhagic
stroke. But on the right side, the hemorrhagic stroke was more frequent on
right ACM (87%) than on ACA (6%), ACP (5%) or right ACM+ACA (2%).
The same scenario was on the left side. The hemorrhagic stroke was more
frequent on left ACM (89%) than on ACP (6%), ACA (5%) or left
ACM+ACA (1%). Nevertheless, the males proved to suffer from
hemorrhagic stroke at a lower age than females. On the other hand, the
incidence of vertebrobasilar stroke was 7%, much lower than the one of
subarachnoid hemorrhage (15%).
Keywords: hemorrhagic stroke, subarachnoid hemorrhage, vertebrobasilar
stroke, Târgu-Mures Hospital.
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