Abstract
STROKE AND ITS RISK PROFILE IN WESTERN NEPAL

Sahadeb Prasad Dhungana*, Mukesh Sharma and Bishal K. C.

ABSTRACT

Stroke is a common cause of morbidity and mortality. In Nepal, there is paucity of data on stroke prevalence and its associated risk factors. This study was carried out to obtain the clinical profile of patients suffering from various stroke subtypes in western Nepal. This is a hospital-based cross-sectional descriptive study which aims to assess the clinical profile of stroke patients admitted at Lumbini Medical College and Teaching Hospital which caters services to rural area of western Nepal. A total number of 224 cases of stroke were included in this study during the period from January 2014 to June 2015 who was admitted in internal medicine ward. Mean age of patients was 62.92 (range from 34 to 84 years) with male and female ratio of 1.64. Amongst strokes, hemorrhagic stroke was more common than ischemic stroke (48.21% vs 42.85%). Subarachnoid hemorrhage was observed in 8.92% of stroke patients. The common manifestations were motor disturbances, altered sensorium, headache and speech abnormality. The common predisposing factors were smoking, hypertension and alcohol consumption. The most common site of both hemorrhagic and ischemic stroke was basal ganglia. Among hemorrhagic strokes, 33.33% of patients had ventricular extension of bleeding. Most commonly involved territory was middle cerebral artery. The burden of stroke and its associated risk factors is high in western part of Nepal. Nationwide campaign for early detection and management of hypertension, diabetes mellitus and for smoking cessation and alcohol abstinence can help reduce the prevalence of stroke.

Keywords: Clinical profile, Risk factors, Stroke.


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