Clinical Profile of Patients Presenting With Recurrent Stroke at a Tertiary Care Center

Background: Recurrent stroke provides a higher risk of fatal or debilitating complications than a first-time stroke. Over the past 40 years, the death rate from initial strokes has reduced, but the number of people at risk for subsequent strokes has grown. In order to help doctors, prescribe the most effective treatment options to lower the risk of recurrent stroke while also informing patients about the risk factors involved and strategies to reduce stroke recurrence, this study was aimed at determining the proportion and the underlying risk factors involved in recurrent stroke. Methodology: Total 84patients with recurrent stroke were studied at a single centre. A detailed history was taken and neurological examination relevant to stroke was performed. Baseline investigations like CH LFT, KFT, RBS, Lipid Profile and Chest X-Ray were done. Diagnosis of the stroke was confirmed by CT/MRI of the brain. Results: The prevalence of recurrent stroke was 25.8%. Among risk factors, alcohol consumption was reported in 34.5% of recurrent cases, smoking reported in 32.1% cases, tobacco use found in 9.5% cases, diabetes mellitus occurred in 53.57% cases and hypertension encountered in 82.1% patients. The cause of recurrence involved patient related factors in 75% cases, drug related factors in 2.4% cases and disease related factors in 45.2% cases. Conclusion: Present study concluded that recurrent stroke is common in our area. The most common factor responsible for recurrence is the patient related factors. Keywords: Recurrent stroke, Tertiary care center, Clinical profile, Neurological examination