European Journal of Molecular & Clinical Medicine

Abstract

Background: Cerebrovascular diseases rank first in frequency and importance among all neurologic diseases. Of all the cerebrovascular diseases, intracerebral hemorrhage is the most dramatic and catastrophic. Various clinical and radiological parameters have been proved useful as predictors of prognosis in spontaneous intracerebral hemorrhage. This study is to identify the risk factors, assess various clinical and radiological features with patients attending GMERS medical college and general hospital in city Gandhinagar in Gujarat state.
Methods: This is a retrospective study of all new patients managed for hemorrhagic stroke of GMERS Medical College and Hospital, Gandhinagar, Gujarat from January1 2012 to December 31, 2013.
Results: The mean age of patient was 61.77 yrs with highest number( 30.5%) of total pts in the age group of 61-70 yrs. Young hemorrhagic stroke (age ≤45 yrs) was in(13.4%). The male to female ratio was 1.05:1 with (51.2%) males & (48.8%) females. Equal percentage (35.1%) patients presented with right and left hemiplegia respectively followed by (29.9%) patients with global stroke. Most common clinical presentation was hemiplegia which was (44.6%) followed by altered sensorium (21.5%) and speech involvement (13.2%). Most common risk factor was Hypertension with (49.3%) incidence. It followed by previous H/o Cerebrovascular accident (13.7%), Smoking (11%). Most common site of hemorrhage was thalamus and basal ganglia (78%), lobar (28%) followed by ventricular (13.2%).
Conclusion: Incidence of hemorrhagic stroke was more in the age group of 61-70 yrs with male predominance with hypertension as the most common risk factor and most common area of hematoma was in thalamoganglionic region.