Clinical Profile of Patients with non Traumatic Intracranial Bleed: An Observational Study at a Tertiary level Hospital in India
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 11
Abstract
Introduction: Intracerebral hemorrhage (ICH) is the second most common cause of stroke, trailing only ischemic stroke in frequency. This study aimed at describing and understanding the demographic and clinical profile of patients with non-traumatic ICH presenting to our centre. Methodology: We did a hospital based observational study in the Department of Medicine, MVP’s Dr.Vasantrao Pawar Medical College Hospital and Research Centre Adagaon, Nashik from May 2012 till December 2014 of 50 consecutive patients diagnosed with non-traumatic intracranial bleed. We obtained detailed history of the patients and findings of general, systemic and neurological examinations. Routine investigations were sent along with CT head and in some cases special investigations were sent. All patients were re-evaluated at the time of discharge to assess the prognosis and clinical outcome of patients. Descrptive analysis was performed using means and percentages. Statistical analysis was done to look for associations of site of hematoma with symptoms observed. Results: Average age of the patients was 60.86±11.08 years, 62% of the population were males. 58% of the population had mean arterial pressure of less than equal to 140 mm Hg and had GCS of more than 9, 34% had scores more than 20. Headache was seen to be the most common symptom observed. Radiologically, more than 30cc of hematoma was seen in 66% of the patients and midline shift was observed in 38% of the patients. Conclusions: Clinico-demographic variables of the patient can help us in assess the prognostic outcome in such patients.
Authors and Affiliations
Dr Rathod Rahul Narayanrao
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