A retrospective study of clinical profile of stroke patients from GMERS Medical College and Hospital, Gandhinagar, Gujarat

Chirayu V. Vaidya, Drusty K. Majmudar


Background: The cerebrovascular stroke is one of the leading causes of morbidity & mortality in adult life. After coronary heart disease & cancer of all types, stroke is the third commonest cause of death worldwide. Indian studies have shown a stroke prevalence of 471.58/100000 population. The objective was to study the clinical presentation, risk factors, neurological presentation, pattern of brain strokes, areas of brain affected as per CT scan findings in pts GMERS medical college and hospital Gandhinagar.

Methods: This is a retrospective study of all new patients managed for stroke in the medical ward of GMERS medical college and hospital, Gandhinagar, Gujarat from January1, 2012 to December 31, 2013.

Results: The cerebrovascular strokes are more common in males (59.7%) than females (40.3%). Most common age group was 61-70 years (32.8%). Most common clinical feature was hemiplegia (72.6%). Most common risk factor was Hypertension (34%) followed by past h/o cerebrovascular stroke (15%), smoking (14%), dyslipidemia (13%). Most common type of stroke was ischemic (74.6%) & hemorrhagic was 2nd (22.9%). In ischemic stroke most common involved areas were parietal (33.7%), frontal (16.7%). In hemorrhagic stroke most common site was thalamus (24.7%) followed by ventricular (17.5%).

Conclusions: The cerebrovascular stroke cases were having male predominance with Hypertension was the most common risk factor and most common type of stroke was ischemic.


Cerebrovascular stroke, Ischemic stroke, Hemorrhagic stroke

Full Text:



S. Hartona. Experiences from a multicenter stroke register: a preliminary report. Bull WHO. 1976;54(5):541-53.

P. Bath. Acute stroke. In: D. Machin, S. Day S. Green, eds. Textbook of Clinical Trials. 2nd ed. Hoboken: Wiley; 2006: 179-180.

S. K. Das, T. K. Banerjee, A. Biswas, D. K. Raut, C. S. Mukherjee, A. Chaudhari, et al. A prospective com-munity based study of stroke in Kolkata, India. Stroke. 2007;38(3):906-10.

D. Nagaraja, G. Gururaj, N. Girish, Samhita Panda, A.K. Roy, G.R.K. Sarma, et al. Feasibility study of stroke surveillance: data from Bangalore, India. Indian J Med Res. 2009 Oct;130:396-403.

R. P. Eapen, J. H. Parikh, N. T. Patel. A study of clinical profile and risk factors of cerebrovascular stroke. Guj Med J. 2009;64(2):47-54.

Prasad Kameshwar, Singhal Kapil K. Stroke in young: an Indian perspective. Neurol India. 2010;58(3):343-50.

Feigin V, Lawes C, Bennet D, Barker Cello S, Parag V. Worldwide stroke incidence and early case fatality in 56 population based studies: a systematic review. Lancet Neurol. 2009;8(4):355-69.

Shah B, Mathur P. Workshop report on stroke surveillance in India. In: Shah B, Mathur P, eds. WHO Report. New Delhi: Division of Non Communicable Diseases, Indian Council of Medical Research; 2006: 1-33.

Maskey A, Parajuli M, Kohli SC. A study of risk factors of stroke in patients admitted in manipal teaching hospital, Pokhara. Kathmandu Univ Med J (KUMJ). 2011 Oct-Dec;9(36):244-7.

Awad SM, Al-Jumaily HF, Al-Dulaimi KM, Abdulghafoor RH. Assessment of major risk factors among stroke patients. Saudi Med J. 2010 Sep;31(9):1028-31.

Ukoha OB, Ajaegbu O, Eke CO. A review of stroke cases in a military hospital in Nigeria. AFRIMEDIC J. 2012 July-Dec;3(2):30-3.

Gauri LA, Kochar DK, Joshi A, Jain R, Gupta S, Saini G, et al. A study of risk factors & clinical profile of stroke at Bikaner. J API. 2000 Jan;48(1).

P. Chitrambalam, Dipti Baskar, S. Revathy. A study on stroke in young and elderly in Rajiv Gandhi government general hospital, Chennai. Int J Clin Med. 2012;3:184-9.

Aiyar et al. A study of clinic-radiological correlation in cerebrovascular stroke (A study of 50 cases). Guj Med J. 1999 Mar;52:58-63.

Pinhero L, Damodar S, Roy AK. Risk factors in stroke: a prospective study. J Assoc Physician India. 2000 Jan;48:72-6.

Abdul-Rahman Sallam, Khalid Al-Aghbari. The clinical profile of stroke: a Yemeni experience. J Med J. 2009;43(2):115-21.

Kaur IR, Agarwal MP, Singh NR. Study of clinical profile & CT correlation in CV stroke. J Assoc Physician India. 2001;51:112-7.

Devichand, Karoli RK. A study of cerebrovascular strokes. J Indian Med Assoc. 1991 Jan;36(12):62-5.