الفهرس 
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Abstract
AIS is a grave threat to global healthcare system, which is accompanied by high disability and mortality. The risk of AIS varies by region, with the highest incidence occurring in the so-called stroke belt in the southern part of the country. Clinical outcome after stroke is highly variable and depends on many factors. Accurate assessment of the expected outcome is important for clinical decision-making, to guide patient management and improve rehabilitation. It is also needed to plan discharge and to provide appropriate prognostic information to patients and his/her relatives. Stress hyperglycemia is common in critically ill patients and appears to be a marker of disease severity. Furthermore, both the admission as well as the mean glucose level during the hospital stay is strongly associated with patient outcomes. Clinicians, researchers and policy makers have assumed this association to be causal with the widespread adoption of protocols and programs for tight in-hospital glycemic control. The aim of this study was to determine the impact of Hyperglycemia in acute ischemic stroke on short term outcome and prognosis. This was a cross-sectional study which was carried out on (100) patients arrived to Emergency department (ED) in emergency Mansoura university hospital with clinical presentation and radiological investigations of ischemic strokeover the period from June 2018 to May 2019. This study revealed the following results: • Demographic characteristics and medical history were demonstrated to be comparable among both groups except in HTN history being more increased in Hyperglycemic group. • Normoglycemic group demonstrated significant increase as regards serum creatinine, while demonstrated significant decrease as regards SBP, DBP, GCS and glucose level in comparison with hyperglyscemic group. • Normoglycemic group demonstrated better outcomes in terms of CT brain and CBC compared to Hyperglycemic group. • Hyperglycemic group demonstrated abnormal outcomes in terms of ABG. • Hyperglycemic group demonstrated marked increase in overall mortality rate compared to normoglycemic one. • Ward and ICU cases revealed comparable outcomes as regards age, course, glucose level and overall mortality. • There were significant increase in ward admission cases as regards onset GCS and significant decrease as regards (Stay duration more than one week) in comparison with ICU admission cases.