Spontaneous intracerebral hemorrhage; findings of primary CT-scan, clinical manifestations and possible risk factors

Abstract

Spontaneous intracerebral hemorrhage is of relatively prevalent emergency cases of neural system associated with significant rate of mortality. The present study aims at determining radiological symptoms, clinical manifestations and possible risk factors of intracerebral hemorrhages. Clinical and radiological findings (primary CT-scan) of 80 patients with intracranial hemorrhage were retrospectively evaluated. The study was consisted of 300 patients. Pictorial findings considering clot age and brain scan of all patients were studied to determine location and extension of hemorrhage and. There were 160 male and 140 female patients with the mean age of 62. The most prevalent clinical manifestation including decrease of consciousness and headache were seen in 51 and 41.6% of cases and only 8.3% of the patients referred while they were in coma. Hematoma was replaced in 36 of lobar and 32.6% in basal ganglia (lenticular). It was observed in 15, 9% and 7.3% of thalamus, cerebellum and other areas, respectively. Additionally, hypertension and consumption of anticoagulation were, respectively seen in 60.3 and 9% while there was not any specific risk factor in 30.6% of the patients. Hypertension was regarded as main risk factors and hemorrhage was seen in basal ganglia in most cases of hypertensive patients. Headache and extension of hemorrhage into ventricles were often seen in cerebellum and thalamus hemorrhages, respectively. Subarachnoid hemorrhage was often associated with lobar hemorrhage. Most hypertensive patients suffering from intracerebral hemorrhage were older than 45 years. Controlling of risk factors especially hypertension is of high importance in prevention from cerebral hemorrhage.