To compare NIHSS scoring system for outcome in anterior and posterior circulation stroke

Authors

  • Aishwarya Ram Junior Resident, Department of General Medicine, ESI Post Graduate Institute of Medical Science and Research, Bengaluru, Karnataka, India https://orcid.org/0009-0007-6018-3362
  • Mamatha Tittamegalapalya Ramalingaiah Associate Professor, Department of General Medicine, ESI Post Graduate Institute of Medical Science and Research, Bengaluru, Karnataka, India https://orcid.org/0000-0003-2027-8141
  • Sheetal Rudra Naik Junior Resident, Department of General Medicine, ESI Post Graduate Institute of Medical Science and Research, Bengaluru, Karnataka, India https://orcid.org/0009-0001-8298-6779

Keywords:

Stroke; Cerebrovascular; Acute ischemic

Abstract

Background: The arterial territory affected in the stroke significantly affects the prognosis and outcome. National institutes of health stroke scale (NIHSS) score widely used significantly differs between anterior and posterior circulation stroke.

Aims and Objectives: The study aimed: (1) To compare the NIHSS score on day 0 and day 5 among anterior circulation and posterior circulation stroke patients. (2) To predict the grading of neurological deficit of the anterior and posterior circulation stroke based on NIHSS score.

Materials and Methods: Data was collected among the patients having anterior or posterior circulation stroke after meticulous history taking and clinical examination, performing hematological investigations, computed tomography Brain and magnetic resonance imaging findings.

Results: Ischemic stroke was more common in males than in females. Among the neurological deficit, weakness of upper limb and lower limb were most common in anterior circulation stroke and giddiness was the most common complaint in posterior circulation stroke. The NIHSS score was higher in anterior circulation stroke as compared to posterior circulation stroke on day 0 and also NIHSS score significantly decreased in the anterior stroke patients between day 0 and day 5 (paired T-test), when day 0 and day 5 were compared.

Conclusion: From this study, we conclude that the NIHSS score significantly decreased in anterior circulation stroke between day 0 and day 5 whereas in posterior circulation stroke, the NIHSS scoring remained same or worsened. Hence, the prognosis is better in anterior circulation stroke as compared to posterior circulation stroke.

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Published

2025-01-01

How to Cite

Aishwarya Ram, Mamatha Tittamegalapalya Ramalingaiah, & Sheetal Rudra Naik. (2025). To compare NIHSS scoring system for outcome in anterior and posterior circulation stroke. Asian Journal of Medical Sciences, 16(1), 37–41. Retrieved from https://nepjol.info/index.php/AJMS/article/view/70672

Issue

Vol. 16 No. 1 (2025)

Section

Original Articles

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Copyright (c) 2024 Asian Journal of Medical Sciences

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