1Professor, Dept of Neurosurgery, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka
2Associate Professor, Dept of General Surgery, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka
3Associate Professor, Dept of Community Medicine, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka
*Corresponding author: Dr. Bellara Raghavendra, Associate Professor, Department of Community Medicine, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka, Email ID: bellararaghu@gmail.com, Mobile #: +91 9901301830
Online published on 2 September, 2017.
The aim of this study was to study the clinical profile and outcome of primary and secondary intracerebral haemorrhage (ICH) and to study the different parameters that affect the outcome.
A total of 120 patients who were diagnosed to have ICH were included in the study. Among the selected patients the clinical profile, radiological profile and the modality of treatment undertaken and the outcome were noted. Outcome variables included survived (improvement in the GCS), death and vegetative state. The outcome variable was compared with respect to age, sex, GCS, etiology, location of the haematoma and the modality of treatment.
Mean age of the patients was 36.78 ± 18.5 years; mean GCS at the time of presentation was 9.05 ± 1.82. Common cause of ICH was trauma (57.5%), hypertension (25%). Poor outcome associated with GCS ≤ 8 (40%), > 50 years age (45.5%), hypertension (50%) and basal ganglia bleed (50%). Best outcome was seen in patients with GCS ≥ 9, a lobar bleed and trauma as the cause of ICH where the patient survival was 90%.
In case of ICH depending upon the clinical and radiological profile the treatment should be individualized. The rates of survival and favorable outcome are better in patients with GCS ≥ 9, a lobar bleed and trauma as the cause of ICH.
Intracerebral haemorrhage, Glasgow Coma Scale, Trauma, hypertension
