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Related Experiment Videos

A clinical study of stroke.

S M al-Rajeh, E B Larbi, H al-Freihi

    East African Medical Journal
    |March 1, 1989
    PubMed
    Summary

    This study on 99 Saudi patients found that motor dysfunction, primarily hemiparesis, was the main clinical feature. Hypertension and diabetes mellitus were significant risk factors, especially in women.

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    Area of Science:

    • Neurology
    • Epidemiology
    • Internal Medicine

    Background:

    • Stroke is a significant cause of morbidity and mortality.
    • Understanding predisposing factors and clinical features is crucial for effective management.
    • Saudi Arabia presents unique demographic and health profiles that may influence stroke characteristics.

    Purpose of the Study:

    • To investigate the epidemiological characteristics, predisposing factors, and clinical presentation of stroke patients admitted to King Fahd Hospital of the University (KFHU).
    • To identify risk factors associated with stroke in the Saudi population.
    • To analyze the dominant clinical features and their prognostic implications.

    Main Methods:

    • Retrospective review of medical records of 99 Saudi patients admitted to KFHU over a two-year period.
    • Data collection included patient demographics, predisposing factors (hypertension, diabetes mellitus, cardiac disease, smoking), and clinical presentation (motor dysfunction, level of consciousness).
    • Statistical analysis of male to female ratio, age distribution, and prevalence of risk factors and clinical features.

    Main Results:

    • A total of 99 patients (68 males, 31 females; male to female ratio 2.2:1) were analyzed.
    • The majority of patients (86%) were over 44 years old, with all patients under 44 being male.
    • Major predisposing factors included hypertension (65%), diabetes mellitus (36%), cardiac disease (20%), and smoking (29%). Motor dysfunction, predominantly hemiparesis (96%), was the main clinical feature. The combination of hypertension and diabetes mellitus indicated a higher risk, particularly in women.
    • Impaired consciousness at presentation was associated with a poor prognosis, especially in the elderly.

    Conclusions:

    • Stroke affects a predominantly older male population in Saudi Arabia, with significant contributions from hypertension and diabetes mellitus.
    • Motor dysfunction, specifically hemiparesis, is the most common clinical manifestation.
    • Early identification of risk factors and clinical signs like impaired consciousness is vital for improving stroke outcomes in this population.

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