INTRACEREBRAL HAEMORRHAGE EVALUATION BY C.T SCAN IN PATIENTS OF CEREBRO VASCULAR ACCIDENTS (CVA)

Abstract

BACKGROUND: Spontaneous intra-cerebral 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. 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 ndings that could predict prognosis. METHODS AND MATERIAL: The study was conducted on 100 Patients with diagnosis of spontaneous ICH and who were diagnosed and admitted to MGM Medical College and LSK Hospital, Kishanganj, Bihar, India from 01/08/19 to 30/07/2021, age ranged between 18 and 75 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, cerebral 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 decit 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 28.44cm3 and 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 midbrain in 4% of the patients. The location of the hematoma in 13 (72.7%) of the LH patients was conned to a single cerebral lobe, while in 5 (27.2%) of LH patients, hematoma was located in two lobes