Comparability and Validity of Clinical Scorings in Differentiating Cerebral Infarct and Hemorrhage

clinical scores for the differential diagnosis of cerebral ischemia and hemorrhage in acute stroke patients. Methods: 100 cases of acute stroke admitted in Government General Hospital, Kurnool were included in the study. All the patients were examined clinically and CT scan brain done and they were validated according to Siriraj and Allen’s clinical scores. Results: In this study group 69 were male patients and the rest were females. According to Siriraj score 51 patients were classified as having cerebral infarct and 23 patients as having hemorrhage and 26 patients as equivocal. Out of 51 patients who were classified as cerebral infarct 49 had infarct and 23 patients who were classified as having cerebral hemorrhage 16 patients showed cerebral hemorrhage by CT scan. Out of 26 patients who were classified as equivocal, 19 had cerebral infarct and 7 had cerebral hemorrhage. Allen’s score classified 48 patients as having cerebral infarct and 19 patients as having hemorrhage and 33 patients as equivocal. Out of 48 patients who were classified as cerebral infarct 46 showed infarct and 19 patients who were classified as having cerebral hemorrhage 15 patients showed cerebral hemorrhage by CT scan. Out of 33 patients who were classified as equivocal, 25 had cerebral infarct and 8 had cerebral hemorrhage. Conclusion: Our study showed that overall sensitivity of Allen’s score and Siriraj score for hemorrhage is same and the overall sensitivity of Allen’s score for cerebral infarct is slightly better than Siriraj score. Siriraj and Allen’s scores are well accepted simple screening diagnostic tools at bed side. Index Terms- Siriraj score, Allen’s score, CT scan Brain