1Professor, Department of Medicine AIMS, Bellur, Karnataka, India
2Assistant Professor, Department of Medicine AIMS, Bellur, Karnataka, India
3Junior Resident, Department of Medicine AIMS, Bellur, Karnataka, India
*Corresponding Author: Dr Sumanth B V Assistant Professor, Department of Medicine Aims, bg Nagara, Nagamangala-571448, E-mail: drsumanth.bv@gmail.com
Online published on 25 January, 2018.
Hyperglycemia (Diabetes and stress hyperglycemia) in patients is associated with poor prognosis both in terms of mortality and functional recovery in stroke. The aim of this study is to correlate the clinical profile, infarct size on CT scan and clinical outcome of cerebral infraction in relation to glycemic status on presentation.
50 consecutive patients admitted with acute ischemic stroke to who were admitted in Intensive Care Unit (ICU) under the department of General Medicine, Sri Adichunchanagiri Hospital and Research Centre (SAH & RC), B G Nagara. Random Blood Glucose levels were done at the time of admission and daily follow up was done up to 7 days. To access the clinical outcome NIHSS was done on the day of admission and on day 7 to look for clinical recovery or death
Stress hyperglycemia group had higher percentage of large sized infarcts and Diabetes group had higher percentage of medium sized infarcts. For any infarct size NIHSS score was high in the hyperglycemic group (stress hyperglycemia and diabetes) and least in euglycemia group. Rate of recovery of stroke was slowest in Stress hyperglycemia group compared to diabetic group and there was a good recovery in the euglycemic group. There was higher rate of complications and mortality in Hyperglycemia group compared to euglycemic group.
Patients with hyperglycemia have more severe stroke, more complications with poor recovery compared to euglycemia group.
Cerebral infarction, Diabetes, NIHSS score, Stress hyperglycemia
