الفهرس 
Clinical Picture,Investigations, and Complications of Ischemic StrokeOnly 14 pages are availabe for public view
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Abstract
Introduction: Cerebrovascular Stroke is a costly disease from human, family and societal perspectives. It is a leading cause of death and disability. Aim of the Study: This study aims to determine the characteristics of the patients who initially present with acute ischemic stroke and to identify the predictors of early (7 days) outcome after one week from the onset of ischemic stroke. Subjects and Methods: This was a cross-sectional observational prospective hospital-based study that enrolled 85 patients with the diagnosis of first ever acute ischemic stroke. Patients were recruited consecutively from the stroke unit of Ain Shams University specialized hospital during the period from April to July 2016. Results: The study population were divided into 2 groups according to the mRS score done at 7 days from onset of symptoms; group I (patients with favorable early outcome) that included patients with mRS score at 7 days from onset of symptoms ranging from 0 to 2 (patients can perform his daily activities independently) and included 54 patients (63.5% of the study population), and group II (patients with unfavorable early outcome) that included patients with mRS score at 7 days form onset of symptoms ranging from 3 to 6 (dependent patients or death) and included 31 patients (36.5% of the study population). Summary and Conclusion: The predictors of unfavorable outcome include high NIHSS score on admission (P <0.001), high NIHSS score after 24 hours (P <0.001), high NIHSS score at 7 days from onset of symptoms (P <0.001), high mRS score on admission (P <0.001), large volume of infarction in MRI (P <0.001), presence of intracranial stenosis in MRA (P=0.034), LAA stroke, cardioembolic stroke and stroke of undetermined etiology (P=0.003), high random blood sugar on admission (P=0.008), and the occurrence of adverse events during admission period (P = 0.012) such as increase size of infarction, chest infection, symptomatic hemorrhagic transformation.