Keywords
Computed Tomography
Magnetic Resonance Imaging
Stroke
How to Cite
Abstract
Introduction: Stroke is a leading cause of death and disability worldwide. Accurate correlation of clinical symptoms with
imaging findings is essential for prompt diagnosis and management.
Objective: To determine the incidence of ischemic and hemorrhagic stroke among admitted patients and evaluate the
clinico-radiological correlation.
Methodology: A prospective observational study was conducted at the Department of Radiodiagnosis, Bir Hospital,
NAMS, Kathmandu, from December 2024 to June 2025. A total of 150 patients with a clinical diagnosis of stroke who
underwent CT imaging were included in the study. Clinical presentations, demographics, and imaging findings were
analyzed and correlated.
Results: Among the 150 patients, 116 (77.3%) had ischemic stroke and 34 (22.7%) had hemorrhagic stroke. Hemiparesis
was significantly more prevalent in ischemic stroke patients (92.2%) compared to hemorrhagic stroke patients (32.4%, p
< 0.001). Altered sensorium (50.0% vs. 3.4%, p < 0.001), headache (50.0% vs. 8.6%, p < 0.001), vomiting (32.4% vs. 1.7%, p
< 0.001), seizures (11.8% vs. 0.9%, p = 0.02), and loss of consciousness (58.8% vs. 3.4%, p < 0.001) were significantly more
common in hemorrhagic stroke patients. The NIH Stroke Score >10 was high in both groups with no significant difference
(97.4% ischemic vs. 100% hemorrhagic, p = 0.48).
Conclusion: The study highlights distinct clinical and radiological differences between ischemic and hemorrhagic
strokes. Hemiparesis is predominantly associated with ischemic strokes, while altered sensorium, headache, vomiting,
seizures, and loss of consciousness are more common in hemorrhagic strokes. Early clinical assessment combined with
CT imaging remains vital.
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