Contribution of Computed Tomography in Cerebral Vascular Accidents at the Fousseyni Daou Hospital in Kayes

Introduction: Stroke is defined as the rapid development of localized or global clinical signs of cerebral dysfunction with symptoms lasting more than 24 hours that can lead to death without any apparent causes other than a vascular origin. The ischemic or hemorrhagic nature of a stroke (stroke) can only be determined by computed tomography (CT) and/or magnetic resonance imaging. The aim of our work was to study the CT aspects of strokes in the radiology and medical imaging department of Fousseyni DAOU Hospital in Kayes. Methodology: This was a descriptive study with prospective collection in the Radiology and Medical Imaging Department of Fousseyni Daou Hospital in Kayes over a period of 12 months concerning 159 cases of strokes confirmed by CT scan. The variables analyzed were sociodemographic, clinical, and CT data. Results: We collected 159 cases out of 628 patients referred to the radiology and medical imaging department for a brain CT scan during the study period, representing a frequency of 25.32% of cases. In our series, men were predominant in 61.63% of cases, with a sex ratio of 1.61. The average age was 65.19 years in 34.59% of cases, with extremes of 31 and 87 years. Arteriopulmonary hypertension was the main risk factor, with 57.23%. Right hemiplegia represented 40.88% of physical deficits. Headaches were the main functional sign, representing 39.62% of cases. We noted the predominance of ischemic lesions, which represented 73.33% of patients. Conclusion: Strokes are a major public health problem. Cranioencephalic CT scans have highlighted the different types of strokes, with a predominance of ischemic strokes and the different locations. Cerebral CT scans remain the first-line examination for making the diagnosis and determining the nature of the stroke and the associated signs of severity. They improve therapeutic management.