Abstract

SICH is caused by non-traumatic bleeding and the underlying causes such as arterial (large
and small vessel disease), venous diseases, vascular malformations and hemostatic disorders
must be further evaluated. In cases of TICH further evaluation of counter coup injuries,
presence of extradural hematoma and subdural hematoma must be looked for. Hence
differentiating between the two forms of ICH is important. Source of Data -patients
presenting to VIMS Neurosurgery department with either spontaneous or traumatic ICH and
posted for keyhole craniectomy were included as a part of the study over a period of 3 years
Aug 2017 to Aug 2021. The location of ICH in spontaneous ICH was most commonly
observed in basal ganglia region .The incidence of traumatic ICH was highest in temporal
region followed by frontal region with a few in parietal and occipital region. Though the
incidence of traumatic ICH was more common in our study it had a better outcome with death
being reported in only 2 out of 25 patients as opposed to spontaneous ICH in which 5 out of
15 patients succumbed .This may be attributed to the elderly age of presentation and presence
of comorbidities in spontaneous as opposed to traumatic ICH