Clinical and Radiological Profile of Intra-cerebral Hemorrhage: An Observational Study

Abstract

Background: Intra-cerebral hemorrhage (ICH) is focal bleeding from a brain blood vessel. It contributes to about 10-15% of the yearly global stroke count, roughly 2 million cases, with an occurrence rate of 10-30 per 100,000 individuals. Patient outcomes depend on clinical presentation and radiological criteria. Aim of the study: This study aimed to assess the clinical and radiological profile of intra-cerebral hemorrhage. Methods: This was a cross-sectional study that was conducted in the Radiology and Imaging Department, Sheikh Sayera Khatun Medical College Hospital, Bangladesh from January 2018 to December 2018. In total 320 diagnosed intra-cerebral hemorrhage (ICH) patients, by computed tomography scan, were enrolled in this study as the study subjects. A purposive sampling technique was used in sample selection. All data were processed, analyzed and disseminated by using MS Office. Results: Participants showed a male-female ratio of 2:1, with 38% aged 61-70. Radiologically, 46% had capsuloganglionic involvement, 22% thalamus, 8% thalamoganglionic, 8% frontal. Common symptoms: altered sensorium (40%), headache (34%), seizures (28%). Leading cause: hypertension (74%). Glasgow Coma Scale: 9-12 for 57%, 13-15 for 34%, <9 for 9%. Conclusion: Aged males are mainly prone to intra-cerebral hemorrhage. The capsuloganglionic region and thalamus are the most vulnerable parts for hemorrhage. Altered sensorium, headache and seizures are the most common symptoms in such cases.