Ma12

Tóm tắt

Objectives: To describe the clinical characteristics and imaging diagnostic features of inpatients with cerebrovascular accidents at Tue Tinh Hospital during the period 2021–2023.

Subjects and methods: A retrospective cross-sectional descriptive study was conducted on 101 medical records of patients diagnosed with cerebrovascular accidents and treated at Tue Tinh Hospital between January 2021 and December 2023.

Results: The majority of patients were in the post-stroke sequelae stage (75.2%). The mean age was 66.51 ± 9.9 years, with a male-to-female ratio of 1.54. Hypertension was the most common comorbidity (79.2%). The most frequent clinical manifestation was hemiplegia or partial paralysis (89.1%). From the Traditional Medicine (TM) perspective, the most notable tongue feature was deviation (17.65%), while the predominant pulse patterns were deep (55.4%) and wiry (29.7%). TM syndrome differentiation was mainly characterized by the “Interior–Deficiency–Heat” pattern, with liver–kidney yin deficiency as the principal subtype. Neuroimaging findings (CT/MRI) showed cerebral infarction in 57.5% of cases, with multifocal lesions (65%), predominance in the left cerebral hemisphere (53.3%), and lesion size primarily <15 mm (52.5%).

Conclusions: Most patients were male and older than 65 years. Hemiplegia was the most common clinical presentation. TM characteristics were marked by tongue deviation and deep–wiry pulse, with liver–kidney yin deficiency as the predominant syndrome pattern. Imaging findings indicated that cerebral infarction, typically presenting as small (<15 mm),