DOI: https://doi.org/10.36347/sasjm.2025.v11i09.006

Pages: 860-864

Background: Stroke is a leading cause of morbidity and mortality worldwide, with hypertension being the most important modifiable risk factor. Clinical presentation and risk factor profiles often differ between ischemic and hemorrhagic stroke, influencing management and outcomes. Methods: This observational cross-sectional study was conducted at the Department of Medicine, Comilla Medical College Hospital, Bangladesh, from January to June 2013. One hundred hypertensive patients with first-ever stroke, aged 20–90 years, were enrolled. Clinical history, risk factors, neurological examination, and CT scan findings were recorded. Patients with previous stroke or other intracranial pathology were excluded. Results: Of the 100 patients, 80% had ischemic stroke and 20% hemorrhagic stroke. Females predominated (72%), with ischemic stroke more common among females (75%), whereas hemorrhagic stroke occurred more frequently in males (40%). Hyperlipidemia (37.5% vs. 40%) and smoking (31.2% vs. 25%) were the most common risk factors. Hemorrhagic stroke was associated with unconsciousness (90%), lower GCS (6 ± 3), headache (100%), and vomiting (90%), while ischemic stroke often occurred at rest (75%). Conclusion: Hemorrhagic stroke in hypertensive patients presents with more severe neurological deficits, whereas ischemic stroke is more prevalent in females and often occurs at rest. Recognition of these differences aids early diagnosis and targeted management.