Abdullahi Mubarak Zubair, Mohammad Halima Mono, Lawal Suleiman, Ibrahim Muhammad Zaria, Bello Nafisa, Aliyu Ibrahim, Muhammad Rasheed Mono
Department of Radiology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
J West Afr Coll Surg. 2023 Jul-Sep;13(3):16-21. doi: 10.4103/jwas.jwas_256_22. Epub 2023 Jun 27.
Stroke is a major public health problem worldwide and it is the third leading cause of death in industrialized countries and ranks among the five most common causes of hospital deaths in adults in Africa. Accurate stroke diagnosis has a high significance for patient's outcome. Computed tomography (CT) brain scan is the imaging of choice for patients presenting to the emergency department with stroke.
The study aimed at evaluating the pattern of lesion depicted on CT brain of patients presenting with stroke in ABUTH, Zaria.
A prospective review of CT findings in 155 patients who presented in the Radiology Department of Ahmadu Bello University Teaching Hospital (ABUTH) with clinical diagnosis of stroke was undertaken over a period of six months (from October 2017 to April 2018)..
Of the 155 patients seen within the period under review, 88 (56.8%) were males while 67 (43.2%) were females. Age range was 11-90 years (mean 56, standard deviation (SD) 16, 44(28.4%) of patients were in the age group of 61-70 years. Ninety six patients (61.9%) had ischaemic stroke, 27(17.4%) had hemorrhagic stroke, eight (5.2%) was stroke mimic, six patients (3.9%) mixed lesions (ie both ischaemic and haemorrhagic). Eighteen patients (11.6%) had normal brain CT findings. The region most affected by stroke was the parietal region 52(38%).
Ischaemic stroke is the most common form of stroke in this study.
中风是全球主要的公共卫生问题，在工业化国家中是第三大死因，在非洲成年人医院死亡的五大常见原因中也位居前列。准确的中风诊断对患者的预后具有重要意义。计算机断层扫描（CT）脑部扫描是急诊科中风患者的首选影像学检查。
本研究旨在评估扎里亚阿卜杜勒·贝洛大学教学医院（ABUTH）中风患者脑部CT显示的病变模式。
对在六个月期间（2017年10月至2018年4月）在阿哈迈杜·贝洛大学教学医院放射科临床诊断为中风的155例患者的CT检查结果进行前瞻性回顾。
在研究期间就诊的155例患者中，88例（56.8%）为男性，67例（43.2%）为女性。年龄范围为11 - 90岁（平均56岁，标准差16），44例（28.4%）患者年龄在61 - 70岁之间。96例（61.9%）患者为缺血性中风，27例（17.4%）为出血性中风，8例（5.2%）为疑似中风，6例（3.9%）为混合性病变（即缺血性和出血性病变均有）。18例（11.6%）患者脑部CT检查结果正常。中风最常累及的区域是顶叶，有52例（38%）。
在本研究中，缺血性中风是最常见的中风类型。
