In the Republic of Tatarstan in 2022: neurological deficit and the share of aggressive intracerebral hemorrhages

Abstract

The article presents the results of a study on neurological disorders in patients with hypertensive intracerebral hematomas in the Republic of Tatarstan and the proportion of aggressive intracerebral hematomas requiring surgical treatment. A retrospective multicenter study was conducted, including data of 1,127 patients with hypertensive intracerebral hemorrhages from 4 regional vascular centers and 14 primary vascular centers in the Republic of Tatarstan in 2022. Motor disorders were observed in 86.3 % of patients, speech disorders — in 73 %, general cerebral symptoms — in 86.1 %, eye movement disorders — in 17.1 %, vestibular disorders — in 7.5 %, bulbar disorders — in 7.3 %, visual disturbances — in 7 %, generalized seizures at the onset of the disease — in 5.5 %, and mental disorders — in 2.9 % of the patients. At the time of admission to the vascular center, 13.1 % of the patients with an aggressive intracerebral hemorrhage were considered potential candidates for surgical treatment, and within the next day after hospitalization, this figure was 10.9 %. The hospital mortality of patients with hypertensive intracerebral hemorrhages with a Glasgow Coma Scale score of 8 or less upon admission was 4.7 times higher than that of patients with a Glasgow Coma Scale score of more than 8 points.