Abstract
Background - The term stroke or apoplexy refers to acute neurological injury,especially the type caused by cerebrovascular disease. Stroke is classied into two major types: 1. Infarction is due to thrombosis, embolism or systemic hypoperfusion. 2.Hemorrhage is through rupture of small arteries, arteriolar, aneurysms or capillaries. Methods - All patients who were admitted with stroke in medical ward and ICU from January 2021 to July 2022 in the department of General Medicine, Mamata Medical College and Hospital, Khammam.This is a hospital based observational study in group of 50 subjects. Results - Among 50 subjects of 30-80 age group most patients are 60s to 70s Ÿ Most frequent site of hematoma in study population is capsulogangionic region consistent with hypertensive hemorrhage (64%) , least affected thalamus (14%) . Ÿ HTN is main risk factor (98%) for patients with ICH. Ÿ Most common symptom FND Ÿ Maximum mortality in age group is among 51-70years Ÿ Serum ferritin levels are increased in mortality group Ÿ Patients < 40 years, DM, Thalamic bleed have good prognosis. Conclusions -The most common risk factor connected with ICH is hypertension. The volume of ICH and admitting GCS have no effect on serum ferritin levels.Increased baseline serum ferritin can be used as an independent prognostic marker and is associated with clinical deterioration. 1. Gangliocapsular region is the most common site of bleed. 2. The absence of diabetes, younger age and absence of IVH and midline shift are associated with good prognosis. 3. Low GCS and higher volume of hematoma is associated with poor prognosis. 4. The initial volume of hematoma as evaluated by ABC/2 is a reliable predictor of prognosis.
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