CLINICAL SPECTRUM AND NEURO IMAGING FINDINGS OF PATIENTS WITH CEREBRAL ARTERIOPATHY
Objective: To determine the association between the clinical spectrum and neuroimaging findings of patients with cerebral arteriopathy. Study Design: Prospective cross-sectional study. Place and Duration of Study: The Institute of Child Health and the Children Hospital Ferozepur Road Lahore, from...
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2018-08-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/39/22 |
| _version_ | 1818573410239774720 |
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| author | Natasha Ghani Zia Ur Rehman Tipu Sultan |
| author_facet | Natasha Ghani Zia Ur Rehman Tipu Sultan |
| author_sort | Natasha Ghani |
| collection | DOAJ |
| description | Objective: To determine the association between the clinical spectrum and neuroimaging findings of patients with cerebral arteriopathy.
Study Design: Prospective cross-sectional study.
Place and Duration of Study: The Institute of Child Health and the Children Hospital Ferozepur Road Lahore, from Jan 2016 to Jun 2016.
Material and Method: The study was carried out on sixty patients who were less than 16 of age years and admitted in neurology department during this period of six months. They were all confirmed cases of cerebral arteriopathy on the basis of history, examination, investigations and imaging findings. Arteriopathy on imaging was defined as focal or segmental narrowing of arterial blood vessels. While patients with other causes of arterial ischemic stroke were excluded from the study.
Results: Out of these 60 patients, majority of them were females (55%) and again majority of them were under the age of 5 years (38%). Recurrent episodes of stroke were noted in (56%), hemiplegia (96.7%) followed by fits (53.3%) was the frequently occurring feature. The radiological finding showed that both acute as well as chronic infarction was a frequent feature (46.7%) and commonly involved artery was middle cerebral artery.
Conclusion: Hemiplegia followed by fits was the most occurring clinical findings and middle cerebral artery was found to be most commonly involved. The diagnosis of cerebral arteriopathy is important because of the long-term morbidity in the form of neurological and behavioral complications. Timely treatment and multidisciplinary approach is needed for these complications. Recurrence can also be prevented in this way. |
| first_indexed | 2024-12-15T00:10:46Z |
| format | Article |
| id | doaj.art-87a6b4c889344a9491c144bbb050390a |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-12-15T00:10:46Z |
| publishDate | 2018-08-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-87a6b4c889344a9491c144bbb050390a2022-12-21T22:42:35ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422018-08-01684840845CLINICAL SPECTRUM AND NEURO IMAGING FINDINGS OF PATIENTS WITH CEREBRAL ARTERIOPATHYNatasha Ghani0Zia Ur Rehman1Tipu Sultan2The Institute of Child Health and Children Hospital Lahore PakistanThe Institute of Child Health and Children Hospital Lahore PakistanThe Institute of Child Health and Children Hospital Lahore PakistanObjective: To determine the association between the clinical spectrum and neuroimaging findings of patients with cerebral arteriopathy. Study Design: Prospective cross-sectional study. Place and Duration of Study: The Institute of Child Health and the Children Hospital Ferozepur Road Lahore, from Jan 2016 to Jun 2016. Material and Method: The study was carried out on sixty patients who were less than 16 of age years and admitted in neurology department during this period of six months. They were all confirmed cases of cerebral arteriopathy on the basis of history, examination, investigations and imaging findings. Arteriopathy on imaging was defined as focal or segmental narrowing of arterial blood vessels. While patients with other causes of arterial ischemic stroke were excluded from the study. Results: Out of these 60 patients, majority of them were females (55%) and again majority of them were under the age of 5 years (38%). Recurrent episodes of stroke were noted in (56%), hemiplegia (96.7%) followed by fits (53.3%) was the frequently occurring feature. The radiological finding showed that both acute as well as chronic infarction was a frequent feature (46.7%) and commonly involved artery was middle cerebral artery. Conclusion: Hemiplegia followed by fits was the most occurring clinical findings and middle cerebral artery was found to be most commonly involved. The diagnosis of cerebral arteriopathy is important because of the long-term morbidity in the form of neurological and behavioral complications. Timely treatment and multidisciplinary approach is needed for these complications. Recurrence can also be prevented in this way.https://www.pafmj.org/index.php/PAFMJ/article/view/39/22cerebral arteriopathyclinical spectrum |
| spellingShingle | Natasha Ghani Zia Ur Rehman Tipu Sultan CLINICAL SPECTRUM AND NEURO IMAGING FINDINGS OF PATIENTS WITH CEREBRAL ARTERIOPATHY Pakistan Armed Forces Medical Journal cerebral arteriopathy clinical spectrum |
| title | CLINICAL SPECTRUM AND NEURO IMAGING FINDINGS OF PATIENTS WITH CEREBRAL ARTERIOPATHY |
| title_full | CLINICAL SPECTRUM AND NEURO IMAGING FINDINGS OF PATIENTS WITH CEREBRAL ARTERIOPATHY |
| title_fullStr | CLINICAL SPECTRUM AND NEURO IMAGING FINDINGS OF PATIENTS WITH CEREBRAL ARTERIOPATHY |
| title_full_unstemmed | CLINICAL SPECTRUM AND NEURO IMAGING FINDINGS OF PATIENTS WITH CEREBRAL ARTERIOPATHY |
| title_short | CLINICAL SPECTRUM AND NEURO IMAGING FINDINGS OF PATIENTS WITH CEREBRAL ARTERIOPATHY |
| title_sort | clinical spectrum and neuro imaging findings of patients with cerebral arteriopathy |
| topic | cerebral arteriopathy clinical spectrum |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/39/22 |
| work_keys_str_mv | AT natashaghani clinicalspectrumandneuroimagingfindingsofpatientswithcerebralarteriopathy AT ziaurrehman clinicalspectrumandneuroimagingfindingsofpatientswithcerebralarteriopathy AT tipusultan clinicalspectrumandneuroimagingfindingsofpatientswithcerebralarteriopathy |