Role of Multi Detector Computed Tomography Cervicocerebral Angiography in Evaluation of Patients with Stroke
Transcerebellar Diameter and Gestational Age
Background: Stroke is the second single most common cause of death in the world causing approximately 6.7 million deaths each year. It has a greater disability impact on an individual than any other chronic disease. The aim of the study is to review the value of CTA in detection and evaluation of non-traumatic cervicocerebral vascular disease (stroke). Subjects & Methods: A prospective observational study conducted in the Department of Radiodiagnosis, Kamineni Hospitals, L.B. Nagar, Hyderabad over 60 patients during April 2016 to May 2017. Results: Out of 60 patients, 35(58.3%) patients had ischemic stroke, 25(41.6%) had hemorrhagic stroke. Overall stroke was seen mostly in the age group of 61-70 (28.3%) years, with a Male to female ratio of 3:2. Conclusion: Hypertension was the most common risk factor associated with this disease, followed by diabetes. CTA helps in accurate diagnosis, risk stratification and planning management protocols.
Krishnamurthi RV, Feigin VL, Forouzanfar MH, Mensah GA, Connor M, Bennett DA. Global and regional burden of first- ever ischaemic and haemorrhagic stroke during 1990-2010: findings from the Global Burden of Disease Study. The Lancet Global health. 2010;1(5):259–81. Available from: https://doi.org/10.1016/S2214-109X(13)70089-5.
Thornton J, Dovey Z, Alazzaz A, Misra M, Aletich VA, Debrun GM, et al. Surgery following endovascular coiling of intracra- nial aneurysms. Surg Neurol. 2000;54(5):352–360. Available from: https://dx.doi.org/10.1016/s0090-3019(00)00337-2.
Prasad K, Vibha D, Meenakshi. Cerebrovascular disease in South Asia – Part I: A burning problem. JRSM Cardiovascular Dis. 2012;1(7):1–7. Available from: https://dx.doi.org/10.1258/cvd.2012.012025.
Pandian JD, Sudhan P. Stroke Epidemiology and Stroke Care Services in India. J Stroke. 2013;15(3):128–128. Available from: https://dx.doi.org/10.5853/jos.2013.15.3.128.
Hunter G, Hamberg LM, Lev MH, Gonzales RG. Computed Tomography Angiography and Perfusion Imaging of Acute Stroke. Cerebral Blood Flow. 2002;p. 165–178. Available from: http://dx.doi.org/10.1007/978-3-642-56036-1_12.
Schuknecht B. Latest techniques in head and neck CT angiog-raphy. Neuroradiology. 2004;46(S2):208–213. Available from: https://dx.doi.org/10.1007/s00234-004-1334-8.
Ikedo T, Nakamura K, Sano N, Nagata M, Okada Y, Kawakami T, et al. Extracranial internal carotid artery dissection caused by compression from a giant osteophyte due to atlantoaxial osteoarthritis: case report. J Neurosurg Spine. 2017;27(4):410–414. Available from: https://dx.doi.org/10.3171/2017.1.spine161047.
Schellinger PD. The Evolving Role of Advanced MR Imaging as a Management Tool for Adult Ischemic Stroke: A Western-European Perspective. Neuroimaging Clin N Am. 2005;15(2):245–258. Available from: http://dx.doi.org/10.1016/j.nic.2005.06.003.
Lloyd-Jones D, Adams R, Carnethon M, Simone GD, Ferguson TB, Flegal K, et al. Heart disease and stroke statistics–2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2009;119(3):21–181. Available from: https://doi.org/10.1161/circulationaha.108.191261.
Rosamond WD, Folsom AR, Chambless LE, Wang CH, Mcgovern PG, Howard G, et al. Stroke incidence and survival among middle-aged adults: 9-year follow-up of the Atherosclerosis Risk in Communities (ARIC) cohort. Stroke. 1999;30(4):736–779. Available from: https://doi.org/10.1161/01.str.30.4.736.
Brown RD, Whisnant JP, Sicks JD, O’fallon WM, Wiebers DO. Stroke incidence, prevalence, and survival: secular trends in Rochester, Minnesota, through 1989. Stroke. 1996;27(3):373– 380.
Wolf PA, D’Agostino RB, O’Neal MA, Sytkowski P, Kase CS, Belanger AJ, et al. Secular trends in stroke incidence and mortality. The Framingham Study. Stroke. 1992;23(11):1551– 1555. Available from: https://dx.doi.org/10.1161/01.str.23.11.1551.
Dalal PM, Malik S, Bhattacharjee M, Trivedi ND, Vairale J, Bhat P, et al. Population-Based Stroke Survey in Mumbai, India: Incidence and 28-Day Case Fatality. Neuroepidemiol- ogy. 2008;31(4):254–261. Available from: https://dx.doi.org/10.1159/000165364.
Sridharan SE, Unnikrishnan JP, Sukumaran S, Sylaja PN, Nayak SD, Sarma PS, et al. Incidence, Types, Risk Factors, and Outcome of Stroke in a Developing Country. Stroke. 2009;40(4):1212–1218. Available from: https://dx.doi.org/10.1161/strokeaha.108.531293.
Townsend N, Wickramasinghe K, Bhatnagar P, Smolina KN, Leal M, Luengo-Fernandez J, et al. Coronary heart disease statistics. British Heart Foundation 2012 208 p;p. 1–1.
Chason JL, Hindman WM. Berry Aneurysms of the Circle of Willis: Results of a Planned Autopsy Study. Neurology. 1958;8(1):41–41. Available from: https://dx.doi.org/10.1212/wnl.8.1.41.
Strong K, Mathers C, Bonita R. Preventing stroke: saving lives around the world. Lancet Neurol. 2007;6(2):182–187. Avail- able from: https://dx.doi.org/10.1016/s1474-4422(07)70031-5.
Greving JP, Wermer MJH, Brown RD, Morita A, Juvela S, Yonekura M, et al. Development of the PHASES score for prediction of risk of rupture of intracranial aneurysms: a pooled analysis of six prospective cohort studies. Lancet Neurol. 2014;13(1):59–66. Available from: https://dx.doi.org/10.1016/s1474-4422(13)70263-1.
Wong KS, Li H. Long-term mortality and recurrent stroke risk among Chinese stroke patients with predominant intracranial atherosclerosis. Stroke. 2003;34(10):2361–2367.
Menon BK, Kochar P, Ah-Seng A, Almekhlafi MA, Modi J, Wong JH, et al. Initial experience with a self-expanding retrievable stent for recanalization of large vessel occlusions in acute ischemic stroke. Neuroradiology. 2012;54(2):147–154. Available from: https://dx.doi.org/10.1007/s00234-010-0835-x.
Eesa M, Hill MD, Al-Khathaami A, Al-Zawahmah M, Sharma P, Menon BK, et al. Role of CT Angiographic Plaque Mor- phologic Characteristics in Addition to Stenosis in Predicting the Symptomatic Side in Carotid Artery Disease. Am J Neuro- radiol. 2010;31(7):1254–1260. Available from: https://dx.doi.org/10.3174/ajnr.a2078.
Ota H, Takase K, Rikimaru H, Tsuboi M, Yamada T, Sato A, et al. Quantitative Vascular Measurements in Arterial Occlusive Disease. RadioGraphics. 2005;25(5):1141–1158. Available from: https://dx.doi.org/10.1148/rg.255055014.
Neurovascular Imaging: MRI & Microangiography. vol. 515;..
Wiebers DO. Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet. 2003;362(9378):103–110. Available from: https://dx.doi.org/10.1016/s0140-6736(03)13860-3.
Morita A, Kirino T, Hashi K, Aoki N, Fukuhara S, Hashimoto N. The natural course of unruptured cerebral aneurysms in a Japanese cohort. N Engl J Med. 2012;366(26):2474–82.
Rooij NK, Velthuis BK, Algra A, Rinkel GJE. Configuration of the circle of Willis, direction of flow, and shape of the aneurysm as risk factors for rupture of intracranial aneurysms. J Neurol. 2009;256(1):45–50. Available from: https://dx.doi.org/10.1007/s00415-009-0028-x.
Backes D, Vergouwen MDI, Velthuis BK, van der Schaaf IC, Bor ASE, Algra A, et al. Difference in Aneurysm Characteristics Between Ruptured and Unruptured Aneurysms in Patients With Multiple Intracranial Aneurysms. Stroke. 2014;45(5):1299–1303. Available from: https://dx.doi.org/10.1161/strokeaha.113.004421.
Ajiboye N, Chalouhi N, Starke RM, Zanaty M, Bell R. Unruptured Cerebral Aneurysms: Evaluation and Management. Sci World J. 2015;2015:1–10. Available from: https://dx.doi.org/10.1155/2015/954954.
Anderson GB, Ashforth R, Steinke DE, Ferdinandy R, Findlay JM. CT Angiography for the Detection and Characterization of Carotid Artery Bifurcation Disease. Stroke. 2000;31(9):2168– 2174. Available from: https://doi.org/10.1161/01.STR.31.9.2168.
Castel JP, Kantor G. Postoperative morbidity and mortality after microsurgical exclusion of cerebral arteriovenous malfor- mations. Current data and analysis of recent literature. Neu- rochirurgie. 2001;47(2-3):369–83.
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