MNJ (Malang Neurology Journal)
Vol. 9 No. 1 (2023): January

CHARACTERISTICS OF ACUTE ISCHEMIC STROKE PATIENTS DUE TO SMALL VESSEL OCCLUSION

Richard Suherlim (Udayana University)
Nyoman Angga Krishna Pramana (Neurology Consultant, Faculty of Medicine, Universitas Udayana/Sanglah Hospital Denpasar, Bali, Indonesia)
Kumara Tini (Neurology Consultant, Faculty of Medicine, Universitas Udayana/Univesitas Udayana Hospital, Bali, Indonesia)
Ida Bagus Kusuma Putra (Neurology Consultant, Faculty of Medicine, Universitas Udayana/Univesitas Udayana Hospital, Bali, Indonesia)
Ida Ayu Sri Indrayani (Neurology Consultant, Faculty of Medicine, Universitas Udayana /Sanglah Hospital Denpasar, Bali, Indonesia)



Article Info

Publish Date
20 Dec 2022

Abstract

Background: Ischemic stroke account for about 87% of all stroke cases. This study will focus on ischemic stroke due to small vessel occlusion as one of the subtypes based on TOAST (trial of ORG 10172 in acute stroke treatment). Objective: To determine the characteristics of ischemic stroke patients caused by small vessel occlusion and are expected to be used as a basis for further research. Methods: A descriptive observational retrospective study regarding the characteristics of acute ischemic stroke patients due to small vessel occlusion at Sanglah Hospital. Secondary data were obtained from patient medical records. Results: The total number of cases of small vessel occlusion was 338. The majority of the sample were men (64.5%) between 40-60 years old (53.6%). Most of the samples were patients who had experienced an ischemic stroke for the first time (75.1%) with NIHSS (National Institute of Health Stroke Scale) scores showing mild (48.2%) and moderate (51.5%) symptoms. Around half of them had a history of hypertension (60.1%), dyslipidemia (59.5%), and diabetes mellitus (44.1%). The most common location of infarction was in the anterior circulation (77.5%) with almost the same ratio of right and left hemisphere locations. Conclusion: Ischemic stroke due to occlusion of small vessels at Sanglah Hospital Denpasar for 3 years was 35.2% of the total ischemic stroke cases. Half of the total sample had classic vascular risk factors. Further research is needed to determine another effective treatment strategy other than just secondary prevention such as life style moderation to prevent recurrency.

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Journal Info

Abbrev

MNJ

Publisher

Subject

Neuroscience

Description

Malang Neurology Journal is a peer-reviewed and open access journal that focuses on promoting neurological sciences generated from basic neurosciences and clinical neurology. This journal publishes original articles, reviews, and also interesting case reports. Brief communications containing short ...