Patrones de hallazgos en imágenes de tomografía computarizada en pacientes diagnosticados de accidente cerebrovascular en Nigeria: estudio de un solo centro

AG Salud Pub Date : 2024-04-02 DOI:10.62486/agsalud202475
Inwang Edet Usoro, Robert O. Akhigbe, Michael Promise Ogolodom, Abdullahi Shuaibu, Emmanuel Emeka Ezugwu, Olunwayemisi Titi Oyegbata, Misael Ron, Oluwafemi Olumide Egbeyemi
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Abstract

Background: Stroke is a major challenge to physicians worldwide, with high incidence, mortality, disability rates, and costs.  This study was designed to evaluate the patterns of computed tomography imaging findings in patients diagnosed with cerebrovascular accident in Nigeria. Materials and methods: A cross-sectional retrospective study design was adopted to select 320 patients with stroke who underwent CT imaging at a radiological facility in Ibadan, Nigeria. Data such as CT imaging findings in CVA, age and gender of the patients were collected from the CT radiological reports archive for cases done from January 2023 to October 2023. Results: Males were highest 208(65%) and the majority 104(32%) were within the age group of 60-69years. Based on CT findings, the majority 180(56.3%) was haemorrhage and the least 20 (6.3%) was transient ischemic attack. Out of 120 cases of infarcts, 27 (22.5%) were female and males were 110 (61.1%) out of 180 cases of haemorrhagic CVA. Conclusion:  Male preponderance was noted in this study. Older adults were commonly affected and haemorrhagic CVA was the commonest CT imaging finding. Improving access to health care for males, and increasing screening and early detection of CVA, could also help to reduce the gender disparity.
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尼日利亚脑卒中患者的计算机断层扫描成像结果模式:一项单一中心研究。
背景:脑卒中是全世界医生面临的一大挑战,发病率高、死亡率高、致残率高、费用高。 本研究旨在评估尼日利亚脑血管意外患者的计算机断层扫描成像结果模式。材料和方法采用横断面回顾性研究设计,选择在尼日利亚伊巴丹一家放射机构接受 CT 成像检查的 320 名中风患者。从 CT 放射报告档案中收集了 2023 年 1 月至 2023 年 10 月期间所做病例的 CT 成像结果、患者年龄和性别等数据。结果显示男性最多,有 208 人(65%),大多数 104 人(32%)的年龄在 60-69 岁之间。根据 CT 检查结果,大多数 180 例(56.3%)为大出血,最少 20 例(6.3%)为短暂性脑缺血发作。在 120 例梗死病例中,27 例(22.5%)为女性,而在 180 例出血性 CVA 病例中,110 例(61.1%)为男性。结论: 本研究中男性居多。受影响的通常是老年人,出血性 CVA 是最常见的 CT 成像发现。改善男性获得医疗保健的机会,增加 CVA 的筛查和早期发现,也有助于减少性别差异。
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