RESUMO
OBJECTIVE: The present study intend to determine the association of anatomical site and clinical outcome in intracerebral hemorrhage patients with or without intraventricular extension. METHODS: The present 1-year cross-sectional study included 56 patients presenting with spontaneous intracerebral hemorrhage with or without intraventricular extension. Relevant data were collected through a detailed interview with either the patient or the attender. Clinical examination was performed with the help of a predesigned and pretested proforma. Anatomical site of intracerebral hemorrhage and volume of ventricular bleed was estimated by computed tomography/magnetic resonance imagining scans. Clinical outcome was assessed based on modified Rankin scale score and Glasgow outcome scale. Mann-Whitney U test and chi-square test were employed in the analysis. RESULTS: The most common clinical presentations were neuronal deficits, speech disorder, and cranial nerve dysfunction. Hypertension was the most important risk factor observed among the patients. Age, gender, habits, severity of hypertension, duration of hypertension, and site of bleed (P > 0.05) were not significantly associated with outcome. However, clinical features including neuronal deficits (P = 0.01), cranial nerve palsy (P = 0.0002), altered sensorium (P = 0.004), vomiting (P = 0.0006), volume or quantum of bleed (P < 0.04), and IVE of ICH (P = 0.026; significantly affected the outcome. CONCLUSION: The present study revealed that immediate outcome of patients with intracerebral hemorrhage associated with the clinical presentation of patients, quantum of bleed, and intraventricular extension of bleed.
