Study of Stroke Due to Intra Cranial Atherosclerosis in Bihar Population

Background: Ischemic stroke is quite heterogeneous in its patho-physiological mechanism associated withatherosclerosis. Little known about measures for prevention of the disease apart from latest technologies andmedications.Method: 100 patients different age groups were studied with MRA, to rule out occlusion or lesion; tropicaldistribution infarction, clinical manifestations, recurrence after treatment was also noted.Results: Clinical manifestations included 33% alcoholic, 21% homocystine, 80% HTN, 54% DM, 30% Hyperlipidemia,35% smoking, 48% HTN + 17% DM +Hyper-lipidemia, 7% Hyper-lipidemia,+ smoking Alcohol. Highest observed 51 (39.9%) MCA followed by 20 (14.4%) ICA, 23 (16.6%)BA, 18 (13.04%) VA and least 2 (1.4%) VA+BA. tropical distribution infarction 28% corticalfollowed 24% sub cortical cortical, 23% 11% cerebellum, 8% Brainstem wasobserved 19% patients.Conclusion: The present pragmatic study will help efficient management risk control Neuro-physicianand neurosurgeon because factor remains best strategy preventing becauserecurrence worsen physical mental conditions