Computed Tomograhic Evaluation of Spontaneous Intracerebral Hemorrhage in a Tertiary Care Hospital of Bangladesh

Abstract

Introduction: Intracerebral hemorrhage (ICH) accounts 10 -15% of strokes which is second leading cause of death worldwide. To explore the risk factors, pattern and location of ICH through neuroimaging technique in a developing country like Bangladesh. Methods: It was a prospective study conducted over two year’s period in Jalalabad Ragib-Rabeya Medical College Hospital, Sylhet. All clinically and radiologically diagnosed hemorrhagic stroke patients except pure subarachnoid, intraventricular & subdural hemorrhages, brain tumors and post traumatic cases were included in the study and their medical and computer tomography records were analyzed. Results: Total 552 patients were included with male to female ratio 1.46:1. Among the various risk factors, the single most common was hypertension 70% cases, followed by smoking in 38% cases, and diabetes in 33% cases Cerebellar hemorrhage was more in elderly aged group 62.9±10.1 compare to lobar, deep cerebral and brain stem groups (54.3±14.2; 55.7±15.9; 51.2±12.7). Lobar and deep cerebral hemorrhage was found almost similarly distributed among< 40 years and > 70 years aged group, but among 40-49 years aged group deep cerebral hemorrhage was found more (72.73%) compare to lobar (27.27%). Conclusion: Incidence of spontaneous intracerebral hemorrhage is more in our middle aged populations with maximum having hypertension, smoking and diabetes mellitus as risk factor. Change in life style and food habits may help reduce the incidence of ICH.