Abstract

Dr. Nitin Jadhav and Dr. Vikram Rode*

ABSTRACT

Introduction: Intracerebral hemorrhage (ICH) is a common devastating neurologic event that causes high morbidity and mortality with profound economic implication. Mortality depends on the size of the hematoma and on the location of the brain. The present study was carried out to study clinical presentations of cerebral hemorrhage and hence to correlate the clinical findings with neuroimaging techniques. Methods: It was a prospective study carried out among suspected cases of cerebral hemorrhage. Every patient was interviewed personally and detailed history was taken followed by clinical, systemic and neurological examination. Results were analyzed comparing clinical diagnosis, sites of lesions, nature of lesions and CT scan findings. Results: Out of 36 patients of cerebral hemorrhage, 26 (72%) were males and 10 (28%) were females. 58% cases presented with headache, 16.6% with convulsions and 27.7% with vomiting (Table 3). When we assessed cases according to their systolic blood pressure (SBP), we found that significantly larger number of cases presented with systolic blood pressure above 140 mmHg. Conclusions: In intracerebral hemorrhage CT scan may help to plan a surgical therapy for hematomas in a rapidly deteriorating patient.