MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT CỤC CỦA BỆNH NHÂN NHỒI MÁU NÃO DO TẮC ĐỘNG MẠCH CẢNH TRONG TRONG 30 NGÀY ĐẦU TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objective: To describe the clinical features and outcome of cerebral infarction with carotid occlusion patients in the first 30 days at Bach Mai hospital in 2023. Subjects and methods: Descriptive case series of 37 ischemic stroke patients with ipsilateral carotid artery occlusion, hospitalized at the Neurology Department in Bach Mai Hospital from Jan 2023 to Aug 2023. Results: The mean age in our series was 66.6 ± 10.3; the oldest was 86 years old, and the youngest was 42 years old. The male/female ratio was 3.6/1. The hypertension rate was 70.3%; the hyperlipidemia rate was 59.5%; there were three patients with other cardiovascular diseases; the diabetes rate was 18.9%. The mean baseline Glasgow Coma Scale score was 13.8 ± 1.5 points. The mean baseline NIHSS score was 16.2 ± 8.4 points. The mean Modified Rankin Scale after 30 days was 3.8 ± 1.6. The mortality rate was 16.2%. Conclusion: Cerebral infarction with carotid occlusion is a rare disease with various clinical symptoms from mild, moderate, severe to very severe. The poor 30-day outcome with the mortality rate was high.