Evaluation of site and volume of intra cerebral haemorrhage by C.T in patients of CVA and its prognostic correlation.

Dr. Mohammad Shamim Ahmad; Dr. Reyaz Anjum; Dr. Mohammad Zakiuddin; Dr. Md. Tabrej Alam

Volume : VI, Issue : IX, September - 2017

Evaluation of site and volume of intra cerebral haemorrhage by C.T in patients of CVA and its prognostic correlation.

Dr. Mohammad Shamim Ahmad, Dr. Reyaz Anjum, Dr. Mohammad Zakiuddin, Dr. Md. Tabrej Alam

Abstract :

BACKGROUND: Spontaneous intracereal haemorrhage (ICH) is a major public health problem with an annual incidence of 10–30 cases per 100 000 population, accounting for 2 million (10–15%) of approximately 15 million strokes, which occur worldwide each year [1–4]. It is the most devastating type of stroke, with the greatest rates of morbidity and mortality [5, 6]. A stroke is rapidly developing clinical symptoms and signs of focal and at times global which are applied to patients in deep coma and those with subarachnoid hemorrhage. ICH can affect the ain parenchyma anywhere, but more commonly affects specific locations, including the basal ganglia, thalamus, pons, and cerebellum [2,5,7]. This is because their locations were found to affect the prognosis of the disease. Supratentorial non–lobar hemorrhages include ICHs located in the thalamus, basal ganglia, and internal or external capsules [8]. AIMS AND OBJECTIVE: The main objective of this study is (i) to correlate volume and location of lesion (hemorrhage) with clinical picture and prognosis, (ii) to determine clinical and CT parameters or findings that could predict prognosis. METHODS AND MATERIAL: The study was conducted on 100 Patients with diagnosis of spontaneous ICH and who were admitted to Patna Medical College and Hospital, Patna from July 2004 to November 2007, age ranged between 18 and 82 years. The inclusion criteria were as follows: (1) spontaneous ICHs on the basis of C.T scan and (2) No antecedent disease such as arterio venous malformations, tumour, anticoagulation therapy, cereal aneurysms, or traumatic events. RESULT: The haemorrhagic stroke on the basis of site, putamen is 44, frontal and parietal is 5 and temporal is 3 in numbers with weakness of limbs or focal neurological deficit was commonest presentation associated with hypertension and diabetes as risk factors was 50% and 07% respectively. The lobar and deep haemorrhages constitute 18% and 75% respectively but the mean volume of haemorrhage 28.44cm³and 36.52cm³.

CONCLUSION: In present study the location of ICH was lobar in 18% deep ganglionic (+ventricle) in 75%, cerebellar in 3% and pontine or midain in 4% of the patients. The location of the hematoma in 13 (72.7%) of the LH patients was confined to a single cereal lobe, while in 5 (27.2%) of LH patients, hematoma was located in two lobes.