Intracerebral hemorrhage: presentation, early morbidity and mortality

ABSTRACT

To study the mode of presentation, risk factors, early morbidity and mortality of patients presenting with intracerebral hemorrhage [ICH] to a General Neurology Unit This study was conducted at Lady Reading Hospital from January 2001 up to December 2001 on patients with confirmed ICH. Traumatic bleed was excluded from the study. After initial clinical assessment Glasgow coma scouring was done in all patients and the morbidity was assessed by modified ranking scale [MRS]. Patient's MRS was recorded at the time of discharge and at one month follows up. Out 74 patients [46 male and 25 female] 33 patients presented with headache and 30 patients had vomiting. Twenty patients had GCS patients had GCS of >/= 10. Five patient developed obstructive hydrocephalus which needed surgical intervention. Thirty nine patients had severe disability at the time of discharge. After a follow up of one month, 32 patients had improved, 17 patients were in status queue while two patients had deteriorated. Six patients died in the hospital and 04 patients died at home while 13 patients were lost to follow-up. High mortality was seen in patients with GCS hematoma size more than 60 cm[3]. Headache, vomiting and loss of consciousness are the common presentations of ICH. Short term outcome of ICH was satisfactory. GCS hematoma size more than 60 cm[3] were associated with higher mortality rate