CLINICAL PROFILE AND PROGNOSTIC EVALUATION OF INTRACEREBRAL BLEEDS
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 9, Pages 2694-2703
Abstract
Introduction-Stroke due to Intra-cerebral hemorrhage is 2nd to ischemia among the pathologies of stroke.Spontaneous ICH accounts for 10%-15% of all strokes.1 ICH, accounts to 30% of strokes,2 with an overall mortality of 40% to 50%.3Identification of the factors that determine and modify the clinical presentation and outcome of ICH is important. There were very few prospective studies on ICH in India.Aims And Objectives-To study the Age, Sex distribution ,Clinical features ,Risk factors and Etiology in patients with Intracerebral Hemorrhage.To recognize the site, CT appearance, calculate the volume of hematoma,To identify the factors which determine the prognosis.Method- A descriptive study of all the patients having sudden onset of neurological deficit or signs and symptoms suggestive of stroke, who underwent plain CT brain within 4 hours of presentation.Results - Mean age was 50.97 +/- 14.96. 44.4% were putaminal bleeds,22(24.4%) were thalamic bleeds.66(73.3%) of patients werehypertensives.96% of the patients had a systolicBP of >150mm of Hg at presentation. Smoking was a major risk factor. Large volume hematomas(>40c.c) were seen in putaminal, lobar and thalamic hemorrhages.Mortality was 61.1% in the study. Larger volumes of hematoma had worse prognosis, and brainstem and cerebellar haemorrhages had 100% mortality.The results were comparable with other published studies from India and other countries.Focaldeficits were the commonest features.Conclusion:The demographic profile the present study was comparable with other published studies from India and other countries. Mortality was 61.1% in the present study.
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