Imaging evaluation of acute cerebral stroke

This study carried out to evaluate the role of MRI examination in the diagnosis of acute cerebral stroke in the Sudanese population, in the period from April 2019 to June 2020 with 200 patients (male 94, female 106) were the patients referred to the radiology department in modern medical centers in Khartoum with a known and suspected case of cerebral stroke, undergone MRI examination, to evaluate each type of stroke and their locations, and to provide additional information’s to support cerebral stroke diagnosis. Correlate between the age group and stroke type for the acute stroke; the dominate was 41-50 years with 17 patients, then 61-70 years with 16 patients the total patients with acute stroke 65 patients. For the subacute stroke, the more frequent group was 51-60 years, with 14 patients with 48 patients for all. For chronic stroke was the lowest frequent among all types with 19 patients; for hyperacute stroke, the most frequent group was 18-30 years with 31 patients, then 31-40 years with 22 patients, the total number of patients with hyperacute stroke was 68 patients. Correlate between the patient's final diagnoses with stroke type, for ischemic, the dominant number of patients was 39 with hyperacute, acute 28 and sub-acute 24 patients, and just 3 patients with chronic stroke with a total number 94 patients. For hemorrhage, the acute stroke was more frequent with 25 patients;hyperacute was 23 patients, with a total number of 64 patients. For both ischemic and hemorrhage stroke, the patients were almost equal for chronic, acute, and sub-acute with 13, 12, and 11 patients respectively, while the hyperacute was 6 patients, were the total number of patients 42. This study concluded that the MRI allows accurate diagnosis of stroke types. MRI is better for detecting acute ischemia and can detect acute and chronic hemorrhage; therefore, it should be the preferred test for accurate diagnosis of patients with suspected acute stroke.