Neuro-Radiological Profile of Intracerebral Hemorrhage

Abstract

Introduction: Neuroimaging methods (Computed Tomography CT, Magnetic Resonance Imaging MRI) are the diagnostic arsenals of Intracerebral hemorrhage (ICH). The objectives of this study were to evaluate the topographical distribution, neuro-radiological profile and outcome of Intracerebral hemorrhage and to identify and analyze neuro-radiological predictors of mortality Methods: It was a retrospective, observational, hospital-based study conducted among 211 patients aged more than 12 years and diagnosed with Intracerebral hemorrhage (based on CT scan). Results: Topographical distribution: BG (32.70%), Thalamus (29.38%) were the two most common primary site of origin in ICH. Oedema, Intraventricular extension, Midline shift were observed with frequency of 63.03%, 51.66%,34.12% respectively. In-hospital mortality was 41.23% with peak within 48 hours. Maximum mortality were reported in ICH having large hemorrhage on admission (Width > 5 cm, volume > 60 ml), multiple topographical involvement and Brainstem hemorrhage. Conclusion: CT findings as In-hospital mortality predictors of ICH were Width of hemorrhage >5 cm, volume of haemorrhage (>60 ml), midline shift, infratentorial location, intraventricular extension and multiple site hemorrhage.

Keywords

• Intracerebral hemorrhage
• ICH
• CT scan
• MRI
• Basal Ganglia