# Clinical Profile and Magnetic Resonance Angiographic Findings Among Patients With Cerebrovascular Stroke

## TL;DR

This study compares clinical and MRI angiographic features of ischemic and hemorrhagic stroke patients to better understand their differences.

## Contribution

The study provides insights into the clinical and MR angiographic profiles of cerebrovascular stroke subtypes.

## Key findings

- Ischemic stroke was more prevalent (80%) compared to hemorrhagic stroke (20%).
- MR angiography showed normal findings in all hemorrhagic stroke cases but only 12.5% in ischemic stroke.
- Middle cerebral artery was most commonly involved in ischemic stroke cases.

## Abstract

Background

Stroke diagnosis is simplified when magnetic resonance imaging (MRI) findings correlate with the clinical features. The present study evaluated the clinical profile in cerebrovascular stroke patients. In addition, the MR angiographic profile of cerebrovascular stroke was assessed, and the clinical and MR angiographic findings were compared in ischemic and hemorrhagic stroke.

Methodology

This was a hospital-based cross-sectional study conducted among 50 stroke patients, including patients clinically diagnosed with stroke, ischemic, and hemorrhagic, presenting within 48-72 h of the onset of symptoms.

Results

In this study, the prevalence of ischemic stroke and hemorrhagic stroke was 40 (80.0%) and 10 (20.0%), respectively. The incidence of seizures (p = 0.007) and headache (p = 0.000) was higher in hemorrhagic stroke when compared to ischemic stroke. The mean fibrinogen level was higher in ischemic stroke when compared to hemorrhagic stroke (441.5 ± 152.04 vs. 308.5 ± 107.3 mg/dL; p = 0.012). The MR angiographic profile was normal in all 10 cases of hemorrhagic stroke; meanwhile, in ischemic stroke, only five (12.5%) had normal findings (p < 0.001). MR angiography (MRA) findings indicated that among ischemic stroke patients, the majority of cases involved the middle cerebral artery (MCA) with nine cases (22.5%), followed by the posterior cerebral artery (PCA) with four cases (10%), and both the internal carotid artery (ICA) and anterior cerebral artery (ACA) with two cases (5%) each.

Conclusion

In this study, ischemic stroke was more prevalent than hemorrhagic stroke. MRA proved valuable in differentiating stroke subtypes and identifying involved vessels in ischemic cases.