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Category: Volume 05 Issue 11 November 2017
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Title: Clinical Profile of Patients with non Traumatic Intracranial Bleed: An Observational Study at a Tertiary level Hospital in India

Authors: Dr Pranav Deore, Dr Ravindra Narod, Dr Smit Janrao, Dr Rathod Rahul Narayanrao, Dr Sapna Anjutagi, Dr Sayali Bhambar

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i11.99

Abstract

Introduction: Intracerebral hemorrhage (ICH) is the second most common cause of stroke, trailing only ischemic stroke in frequency. This study aimed at describing and understanding the demographic and clinical profile of patients with non-traumatic ICH presenting to our centre.

Methodology: We did a hospital based observational study in the Department of Medicine, MVP’s Dr.Vasantrao Pawar Medical College Hospital and Research Centre Adagaon, Nashik from May 2012 till December 2014 of 50 consecutive patients diagnosed with non-traumatic intracranial bleed. We obtained detailed history of the patients and findings of general, systemic and neurological examinations. Routine investigations were sent along with CT head and in some cases special investigations were sent. All patients were re-evaluated at the time of discharge to assess the prognosis and clinical outcome of patients. Descrptive analysis was performed using means and percentages. Statistical analysis was done to look for associations of site of hematoma with symptoms observed.

Results: Average age of the patients was 60.86±11.08 years, 62% of the population were males. 58% of the population had mean arterial pressure of less than equal to 140 mm Hg and had GCS of more than 9, 34% had scores more than 20. Headache was seen to be the most common symptom observed. Radiologically, more than 30cc of hematoma was seen in 66% of the patients and midline shift was observed in 38% of the patients.

Conclusions: Clinico-demographic variables of the patient can help us in assess the prognostic outcome in such patients.

Keywords: stroke, hemorrhage, outcome, complications, symptoms, mortality.

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Corresponding Author

Dr Rathod Rahul Narayanrao

Assistant Professor, Department of Medicine, BJ Medical College and Sassoon General Hospitals,

Jai Prakash Narayan Road, Near Pune Railway Station, Pune – 411001