Griffiths Cassandra Elaine, Yadav Madhu A, Alexander Anju Susan, Chowdary Gorthi Nikitha, Shetty Dhanush, Pandya Ishani, Sathish Kumar Harikrishnan, Patel Prasanna Ratilal
General Medicine, Mysore Medical College and Research Institute, Mysore, IND.
Anaesthesia and Critical Care, Sri Padmavathi Children's Heart Centre, Tirupati, IND.
Cureus. 2025 Jun 10;17(6):e85739. doi: 10.7759/cureus.85739. eCollection 2025 Jun.
Background Stroke diagnosis is simplified when magnetic resonance imaging (MRI) findings correlate with the clinical features. The present study evaluated the clinical profile in cerebrovascular stroke patients. In addition, the MR angiographic profile of cerebrovascular stroke was assessed, and the clinical and MR angiographic findings were compared in ischemic and hemorrhagic stroke. Methodology This was a hospital-based cross-sectional study conducted among 50 stroke patients, including patients clinically diagnosed with stroke, ischemic, and hemorrhagic, presenting within 48-72 h of the onset of symptoms. Results In this study, the prevalence of ischemic stroke and hemorrhagic stroke was 40 (80.0%) and 10 (20.0%), respectively. The incidence of seizures (p = 0.007) and headache (p = 0.000) was higher in hemorrhagic stroke when compared to ischemic stroke. The mean fibrinogen level was higher in ischemic stroke when compared to hemorrhagic stroke (441.5 ± 152.04 vs. 308.5 ± 107.3 mg/dL; p = 0.012). The MR angiographic profile was normal in all 10 cases of hemorrhagic stroke; meanwhile, in ischemic stroke, only five (12.5%) had normal findings (p < 0.001). MR angiography (MRA) findings indicated that among ischemic stroke patients, the majority of cases involved the middle cerebral artery (MCA) with nine cases (22.5%), followed by the posterior cerebral artery (PCA) with four cases (10%), and both the internal carotid artery (ICA) and anterior cerebral artery (ACA) with two cases (5%) each. Conclusion In this study, ischemic stroke was more prevalent than hemorrhagic stroke. MRA proved valuable in differentiating stroke subtypes and identifying involved vessels in ischemic cases.
背景 当磁共振成像（MRI）结果与临床特征相关时，中风诊断会变得更加简单。本研究评估了脑血管中风患者的临床特征。此外，还评估了脑血管中风的磁共振血管造影特征，并对缺血性和出血性中风的临床及磁共振血管造影结果进行了比较。
方法 这是一项基于医院的横断面研究，共纳入50例中风患者，包括临床诊断为中风、缺血性和出血性中风的患者，这些患者在症状发作后48 - 72小时内就诊。
结果 在本研究中，缺血性中风和出血性中风的患病率分别为40例（80.0%）和10例（20.0%）。与缺血性中风相比，出血性中风的癫痫发作发生率（p = 0.007）和头痛发生率（p = 0.000）更高。与出血性中风相比，缺血性中风的平均纤维蛋白原水平更高（441.5 ± 152.04 vs. 308.5 ± 107.3 mg/dL；p = 0.012）。所有10例出血性中风患者的磁共振血管造影特征均正常；与此同时，在缺血性中风患者中，只有5例（12.5%）结果正常（p < 0.001）。磁共振血管造影（MRA）结果表明，在缺血性中风患者中，大多数病例累及大脑中动脉（MCA），有9例（22.5%）；其次是大脑后动脉（PCA），有4例（10%）；颈内动脉（ICA）和大脑前动脉（ACA）各有2例（5%）。
结论 在本研究中，缺血性中风比出血性中风更常见。MRA在区分中风亚型和识别缺血性病例中受累血管方面被证明具有重要价值。
