Demographics, Clinical profile, Causes and Outcome of Intracerebral Hemorrhage in Neurosurgical Unit in Manipal Teaching Hospital of Western Nepal

• DOI: 10.3126/egn.v3i01.38963
• Publication Date: 2021-08-11T09:46:17Z
• Authors: Prabin Bhandari; Suman Adhikari; Aabishkar Bhattarai; Nikunj Yogi; Balgopal Karmacharya; Bijaya Karki; Naresh Poudel
• Keywords: Demographics

Background: This research article aims to evaluate the demographic variables, clinical profile, causes and outcome determinants of spontaneous intracerebral hematoma (SICH) in a population Western Nepal. The study represents cases SICH reported from Manipal Teaching Hospital, tertiary center at Gandaki province Materials methods: Retrospective data collection analysis were done with consecutive admitted our between January 2018 March 2019. variables analyzed include age, gender, chronic conditions like hypertension, diabetes mellitus, history tobacco abuse, alcohol Glasgow coma score (GCS) on admission, radiological(CT scan) findings, treatment modality, an 6 months period, etc. Modified Rankin (mRS) was used assess discharge after six months. Results: Our group 237 patients included 171 males 66 females mean age presentation 64.02 years. 121 (51.1%) who previously diagnosed systemic arterial hypertension 15 mellitus. most frequent locations basal ganglia (n=127), lobar (n=94), intraventricular hemorrhage (n=69), cerebellar (n=15) brainstem (n=11). volume blood clot admission 25.97 ml. surgical evacuation decompression through craniotomy 52 (21.9%) patients. Independent predictors unfavorable outcomes includes headache (p=0.007), aphasia (p=0.017), GCS (p=0.00) motor (p=0.00); CT finding extension (p=0.00), midline shift surgery (p=0.007). Conclusion: ICH predominantly affects younger Nepal comparison world. features headache, aphasia, pupillary size reaction, score; hemorrhage, shift, volume; outcome. On binary logistic regression, consistent predictor terms MRS (OR 2.236, p=0.002).