Comparison Of Siriraj Stroke Score with Ct-Scan Findings in Ischemic Stroke.

Abstract

ABSTRACT

 Stroke is one of the leading causes of death and disability worldwide, affecting one in six people during their lifetime. It occurs due to either a blockage in the brain's blood supply (ischemic stroke) or sudden brain hemorrhage (hemorrhagic stroke). Diagnosing stroke is crucial, and while CT scans are commonly used, they may not always be readily available, especially in resource- limited settings. The Siriraj Stroke Score (SSS), developed in 1991, offers a potential alternative for diagnosing strokes when CT scans are inaccessible or expensive. This study evaluates the effectiveness of the Siriraj Stroke Score in predicting ischemic and hemorrhagic strokes. The results demonstrate that the SSS is highly sensitive (92.5%) for ischemic stroke, making it a reliable tool for identifying patients with this condition. However, it has low specificity (0%) and cannot exclude ischemic strokes in patients without the condition. Despite its limitations, the study suggests that the SSS is valuable in screening for ischemic stroke and should be used in conjunction with other diagnostic tools, such as CT or MRI, for accurate diagnosis. Immediate action based on a positive Siriraj Stroke Score can help minimize the window period for treatment and improve outcomes in ischemic stroke patients.