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Document Type

Original Article

Abstract

Background - Ischemic stroke is defined as the sudden onset of focal neurologic deficits of ischemic etiology lasting at least 24 hours, without hemorrhage on brain imaging. Early neurological deterioration (END) in acute ischemic stroke is a prevalent occurrence. END has a severe long-term and short-term impact on patient outcomes. Aim - To determine the different causes of early deterioration of ischemic cerebro-vascular stroke inside stroke units within the first 72 hours. Patients and Methods - This study was done in El-Maady Military Hospital. The study included 177 patients with acute ischemic stroke. Results - Deterioration of the case means one or more grades increase of the NIHSS after 72 hours. Radiologically, in 1st CT 70.1% of the cases had no abnormality but after 72h all cases showed abnormalities, 35.6% of the studied cases had change in NIH-Ss ≥ 2 which reflect worsening of the case. Significant increase in DM, HPT, IHD, duration of DM, HTN and mean initial NIH-Ss among worsening cases compared to non-worsening cases. Old age, DM, HTN, lesion in pontine and mid brain lesion, large and massive lesions, pneumonia, high TLC, low oxygen and high initial NIH-Ss were risk factors for maladaptive behavior. Conclusion - Ultrasound provides valuable information about the possibility of aggravating stroke symptoms at some point during the intense phase.

Keywords

Acute ischemic stroke; Cerebra-vascular stroke; early neurological deterioration

Subject Area

Neurology

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