Abstract
Introduction: Intracerebral bleeds are the second most common cause of stroke. The initial consciousness level and progressive deterioration and various radiological parameters like hematoma volume, its expansion, mass effect and location has been implicated with poor outcomes of Intracerebral Hematoma (ICH) regardless of the management methods. In this study we aimed to study various clinical and radiological parameters associated with outcome of spontaneous supratentorial ICH.
 Methods: This prospective study was carried out in 89 patients of spontaneous supratentorial ICH admitted to National Institute of Neurological and Allied Sciences, Nepal in between January 2015 to December 2015 to assess various parameters associated with its outcome. Outcome of the patients were assessed against various clinic-radiological and demographic variables using chi square test and student’s t test respectively for categorical and continuous variables using IBM SPSS 20 software.
 Results: Glasgow Coma Scale (GCS) (p=0.00), size of hematoma (p=0.034), presence of midline shift (0.000) and presence of intraventricular hematoma (p=0.020) were found to have statistically significant difference when compared in between good and poor outcome group.
 Conclusion: GCS at admission, size of hematoma, midline shift in cerebral tomography scan (CT scan) and presence of intraventricular hemorrhage (IVH) were significantly associated with outcome of spontaneous Supratentorial ICH.
Highlights
Intracerebral bleeds are the second most common cause of stroke
In this study we aimed to study various clinical and radiological parameters associated with outcome of spontaneous supratentorial Intracerebral Hematoma (ICH)
This prospective study was carried out in National Institute of Neurological and Allied Sciences, a tertiary care neurosurgical center in Nepal with an aim to assess various clinicradiological parameters associated with outcome of spontaneous supratentorial ICH
Summary
Intracerebral bleeds are the second most common cause of stroke. The initial consciousness level and progressive deterioration and various radiological parameters like hematoma volume, its expansion, mass effect and location has been implicated with poor outcomes of Intracerebral Hematoma (ICH) regardless of the management methods. In this study we aimed to study various clinical and radiological parameters associated with outcome of spontaneous supratentorial ICH. Intracerebral bleeds are the second most common cause of stroke, accounting for 30–60% of hospital admissions for stroke.[1]. In 1961, McKissock and colleagues reported the first prospective randomized controlled trial in neurosurgery and showed that operative treatment was associated with a worse outcome than conservative treatment for patients with spontaneous supratentorial intracerebral haemorrhage.[2] That trial has affected the management of this disorder for most of the past half century. Improved surgical techniques, neuroimaging, neuroanaesthesia, and perioperative monitoring and care have all led to improved outcomes from surgery in many conditions.[6]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
