Frequencies of different vascular etiologies and clinical presentations in post-partum women with suspected stroke
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Keywords
Arterial Thrombosis, Cerebral Venous Sinus Thrombosis, Postpartum, Stroke
Abstract
To assess the frequencies of different vascular etiologies and clinical presentations in post-partum women with suspected stroke.
Materials and Methods: In this cross sectional study, we enrolled a total of 118 female in post-partum period of 30 days after delivery having clinical diagnosis of suspected stroke. Following an evaluation of each patient, the clinical presentation and frequency of various vascular aetiologies were recorded. The study duration was 6 month from February 2023 to July, 2023 and was conducted at Department of Medicine, Hayatabad Medical Complex, Peshawar.
Results: The mean age of all patients were 33.83±7.4 years. 10% of patients were suffering from Arterial thrombosis, 20% patients from cerebral venous sinus thrombosis and 70% patients were suffering from hemorrhagic stroke. Clinical presentation of all the enrolled patients were shown as 53.8%, 44.5%, 22.9% and 16.1% patients have symptoms of Headache, Seizures, Altered Consciousness and Weakness respectively. We have found 26.3%, 20.3%, 28.6% and 15.1% patients were suffering from hypertension, DM, proteinuria and anemia respectively. We have stratified arterial thrombosis, cerebral vein thrombosis, and hemorrhagic stroke according to many risk variables, including place of residence, hypertension, diabetes mellitus, proteinuria, and anaemia. All other factors have an insignificant P-value, with the exception of age group.
Conclusion: In postpartum women suspected of having had a stroke, headaches were the most prevalent clinical manifestation, while hemorrhagic strokes were the most common vascular etiology
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