Clinical Profile and Mortality in Patients Presenting with Intra-cerebral Hemorrhage in a Tertiary Care Centre

Stroke is one of the most common causes of morbidity and mortality in the world, constituting a major challenge in the occupational and neuro-rehabilitation programs of stroke survivors. Stroke due to Intra-cerebral hemorrhage is 2 to ischemia among the pathologies of stroke. A prospective study was done with all the patients who are suspected to have suffered a stroke and were underwent plain Computerized Tomography (C.T) Scan. Inclusion criteria: Patients between 18 – 90 years of age who are diagnosed to have ICH on CT scan and those presented within 48 hours of onset of symptoms. A total of 276 admissions to the emergency room suggestive of stroke, of which 52 patients were diagnosed to have ICH. Of 50 patients with ICH, 23 (46%) were in putamen, 10 (20%) were lobar, 12 (24%) were in thalamus, 3 (6%) were in brainstem, 2 (4%) were cerebellar hemorrhages. The most common feature noticed was hemiparesis, seen 44 (88%) of the patients. All the patients with lobar and brainstem hemorrhage invariably had hemiparesis. Mortality reaches 100% in patients whose hematoma volume exceed 60cc. 86.9 % of the patients with hematomas above 40cc were dead. Mortality was considerably less with volumes less than 40 cc (40.7%). Putamen was the commonest site, with a male preponderance. Focal neurologic signs were the commonest presenting feature. CT scan was of great value in diagnosis and also for prognosticating the outcome. Mortality was 61% in our case study.