NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG Ở BỆNH NHÂN ĐỘT QUỴ NHỒI MÁU NÃO CÓ TỔN THƯƠNG ĐỘNG MẠCH CẢNH TRONG TẠI BỆNH VIỆN QUÂN Y 110

Abstract

Objective: To describe the clinical and paraclinical characteristics of ischemic stroke patients with and without internal carotid artery lesions. Research method: A prospective, cross-sectional and comparative study. Study subjects: 124 patients diagnosed with ischemic stroke who underwent 64-slice CT scanning and were treated at Military Hospital 110 from February 2018 to May 2019.  Results: The average age of patients with anterior circulation stroke was 66.84 ± 12.30 years, with males accounting for 69.4%. A history of previous stroke was observed in 23.3% of patients with internal carotid artery lesions, higher than the 6.2% in the group without lesions. The group with internal carotid artery lesions had more severe paralysis, with 51.2% of patients having a muscle strength score of 1/5 upon admission. The average Glasgow score in the group with internal carotid artery lesions was 12.98 ± 1.67, lower than the 14.36 ± 1.15 in the group without lesions. The NIHSS score was higher in the group with internal carotid artery lesions, averaging 12.91 ± 5.95 compared to 6.64 ± 3.30 in the group without lesions. The ASPECT score was lower in the group with internal carotid artery lesions, with an average of 7.16 ± 1.70 compared to 8.69 ± 1.19 in the group without lesions. Conclusion: Anterior circulation ischemic stroke is more common in individuals over 60 years old and predominantly affects males. Patients with internal carotid artery lesions experience more severe paralysis and greater consciousness impairment than those without lesions. Regarding assessment scales, the NIHSS score is higher, and the ASPECT score is lower in the group with internal carotid artery lesions compared to the group without lesions.