Journal of AdvancedMedical and Dental Sciences Research

Background: Stroke or cerebrovascular accident or CVA is defined as rapidly developing clinical symptoms and/or signs of focal and at times global loss of brain function, with symptoms lasting more than 24 hours or leading to death, with no apparent cause other than that of vascular origin. The present study was conducted to evaluate electrolyte abnormality in acute stroke patients. Materials & Methods: 94 patients of stroke of both genders were enrolled. CNS examination was performed in all patients. Complete blood count, blood sugar level, liver function test, renal function test, lipid profile, serum sodium, potassium, chlorides urine sodium and potassium, serum osmolality were also done. CT scan Brain and MRI Brain was performed. Results: Age group 40-50 years had 14, 50-60 years had 20, 60-70 years had 27 and >70 years had 33 patients. The difference was significant (P< 0.05). Dyselectrolytaemia in haemorrhagic stroke patients was seen in 35% and in ischaemic stroke patients in 68%. The difference was significant (P< 0.05). The mean serum osmolality in haemorrhagic stroke patients was 294.1 mmol/kg and in ischaemic stroke was 308.5 mmol/kg, urine sodium was 61.4 mEq/L/24 hours in haemorrhagic stroke patients and 66.4 mEq/L/24 hours in ischaemic stroke patients and urinary potassium was 75.2 mEq/L/24 hours in haemorrhagic stroke patients and 71.6 mEq/L/24 in ischaemic stroke patients. The difference was non- significant (P> 0.05). Conclusion: Sodium level was reduced in most of the patients. Therefore. the level of electrolytes should be assessed in stroke patients.