R1/ Assessment of Risk Factors in Patients Presented With symptomatic Intracranial Arterial Stenosis In Minia University Hospital

Abstract

Background: Cerebrovascular stroke is the 1st leading cause of death and the third leading cause of disability.It&#039;s been reported that intracranial Stenosis (ICAS) accounted for 10% of all cerebral ischemic events worldwide. Finding out what variables put individuals with intracranial artery stenosis at risk was the driving force behind this study. Methods: This cross-sectional study was carried out on all patients referred to Minia University hospital presented with symptomatic intracranial stenosis either presented with stroke or transient ischemic attack aged from 18 to 80 years old, both sexes, for one year duration. Results: Total number of patients was 168 .Patients with no ICAS represented 89 cases while 79 of cases had ICAS .The mean age of patients with ICAS was 62±12.9 years, Male gender represented in 52(65.8%) of cases with ICAS. Smokers with ICAS were 28(35.4%). According to comorbidities, hypertension and dyslipidemia were found in 52(65.8%) & 51(64.6%) of cases with ICAS respectively, diabetes found in 29(36.7%) of cases with ICAS , obesity found in 18(22.8%) and IHD found in 13(16.5%) of cases with ICAS. History of previous stroke presented in 27(34.2%) of cases. Median Glasgow Coma Scale (GCS) was 15(14-15). Previous history of stroke were significantly higher among cases with ICAS than among cases without ICAS (p value <0.05). Conclusions: the most common risk factors associated with patient with ICAS were being male, Hypertension,dyslipidemia , diabetes and smoking respectively ,and previous history of cerebrovascular stroke is significantly found in patients presented with symptomatic ICAS than patients without ICAS