ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ NGƯỜI BỆNH NHỒI MÁU NÃO CẤP TUẦN HOÀN SAU

Abstract

Objective: To describe the clinical characteristics, paraclinical features, and treatment outcomes of patients with posterior circulation ischemic stroke at Hanoi Medical University Hospital. Subjects and Methods: A cross-sectional, retrospective study of 66 medical records of patients with posterior circulation ischemic stroke at Hanoi Medical University Hospital from January 2022 to December 2023. Results: The average age of patients was 61.95 ± 13.8 years, with a male-to-female ratio of 2.3. Most patients were admitted late, with an average time from onset to hospital admission of 11,43 ± 6,79 hours. Common symptoms in patients included hemiplegia (65.2%), dysarthria (56.1%), dizziness (30.3%), visual disturbances (19.7%), headache (15.2%), and nausea/vomiting (12.1%). A pc-ASPECT score of 8-10 was found in 83.3% of patients, with pontine infarction observed in 66.7%. NIHSS scores at admission ranged from 0-4 in 62.1% of patients. The mortality rate was 3%. Conclusion: Posterior circulation ischemic stroke presented with diverse symptoms, posing challenges for definitive diagnosis. Dizziness and visual disturbances were critical symptoms that considered for posterior circulation stroke. The POST-NIHSS should be performed in patients with low NIHSS scores.