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