The Clinical Profile of Stroke: A Yemeni Experience

Abdul-Rahman Sallam, Khalid Al- Aghbari, Hesham Awn


Objective: to study the pattern of brain strokes, the major risk factor, and the medical problems
associated with cerebrovascular accidents in Yemeni patients.
Patients and Methods: Retrospective hospital-based study conducted in Kuwait teaching hospital in
Sana’a, over a four-year period (1999-2003). All cases admitted with stroke were diagnosed by history
and clinical examination, and were then confirmed by investigation including CT scan as included in the
Results: The mean age of stroke patients was 59.6 years with a 62.6% male-to-female predominance.
Among patients in the group aged above 45years, the most common stroke pattern was ischemic in 72%,
hemorrhagic in 25 %and was undetermined in 2.5%. The most common age for stroke was the middle
age group (15-44) years as the stroke was seen in 51.7% of them.
The major associated medical conditions were hypertension (HTN) in (68.3%), cardiac diseases that
account for 42.4% and diabetes mellitus (DM) in (24.4%). Hypertension was more common in the
hemorrhagic stroke presents; 82.6%, versus 61.6% in the ischemic group. Assessing the known risk
factors, smoking history was positive in 42% and hyperlipidemia in13.9%. QAT chewing habit was
positive in 43.4% of the patients. QAT chewing is known to be associated with hypertension.
The fatality rate was (24.2%) and it was higher in hemorrhagic stroke (28.8%), than ischemic stroke
Conclusion: This is the first study about strokes in Yemeni population highlighting that younger age
sustained stroke when compared to other countries that have a predominance of ischemic over
hemorrhagic type. Hypertension is the most common associated factor observed and it was more
common in the hemorrhagic type. The ratio of associated diabetes and hyperlipidemia is low compared
elsewhere. Whether this is related to QAT chewing or not, the issue needs to be further studied.


Brain Stroke, major risk factor, cerebrovascular accident, Yemeni patients.

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