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Comparison of clinical diagnosis with computed tomography in ascertaining type of stroke

Jehangir Khan1, Atique ur Rehman

  • 1Department of Medicine, Ayub Medical College and Ayub Teaching Hospital, Abbottabad. dr_jehangir_khan@yahoo.com

Journal of Ayub Medical College, Abbottabad : JAMC
|December 3, 2005
PubMed

Insights

Clinical diagnosis of stroke is less reliable than Computed Tomography (CT) scans for differentiating between hemorrhagic and ischemic stroke. CT scans provide more accurate stroke type determination for effective treatment planning.

Area of Science:

  • Neurology
  • Radiology
  • Medical Diagnostics

Background:

  • Stroke (Cerebrovascular Accident) is a leading cause of death and disability.
  • Accurate stroke type differentiation (hemorrhagic vs. ischemic) is crucial for treatment.
  • Clinical diagnosis alone may not reliably distinguish between stroke types.

Purpose of the Study:

  • To compare the accuracy of clinical diagnosis against Computed Tomography (CT) scan findings.
  • To evaluate the effectiveness of clinical assessment in determining stroke type.
  • To ascertain the reliability of clinical diagnosis for hemorrhagic versus ischemic stroke.

Main Methods:

  • A study involving 100 consecutive stroke patients was conducted.
  • Clinical diagnosis focused on symptom onset, cardiovascular disease, and stroke history.
  • All patients underwent CT scans for confirmation and comparison with clinical assessment.

Main Results:

  • Clinical diagnosis suspected 43% cerebral infarction and 25% intracerebral bleed.
  • CT scans revealed 60% cerebral infarction and 27% intracerebral hemorrhages.
  • CT scans identified other pathologies including Space Occupying Lesions and hemorrhagic infarcts.

Conclusions:

  • Clinical diagnosis of stroke type is not as reliable as CT scan findings.
  • CT scans are superior for confirming stroke type (hemorrhagic or ischemic).
  • While clinical assessment aids diagnosis, CT confirmation is essential.
Abstract

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