ROLE OF COMPUTED TOMOGRAPHY IN EVALUATION OF SITE, VOLUME OF SPONTANEOUS INTRACRANIAL HAEMORRHAGE

Abstract

A stroke is a sudden disruption of the cerebral circulation or perfusion. Intracerebral hemorrhages (ICH) account for about 10 percent of strokes. For the treating physician to determine the location and extent of hemorrhages, evaluate the likelihood of an imminent brain injury, and establish a treatment plan, neuroimaging has become a crucial tool.

OBJECTIVES: Evaluation of the location, type, and volume of intracranial hemorrhage using CT images.

METHODS: It’s a prospective observational study conducted among 100 patients with ICH. Patients with intracranial tumors and clotting disorders were excluded. CT serial sections of the brain are taken at an interval of 5 mm.

RESULTS: Of the subjects, 63% are male and 37% are female. Intraventricular hemorrhage was 1%, primary subarachnoid hemorrhage was 21%, and intraparenchymal hemorrhage was 78%. 93% of people had hypertension, and 67% had diabetes. Of the 78 IPH patients, 55 had hemorrhages ranging from 0 to 30 ml, and 19 had hemorrhages ranging from 31 to 60 ml. Four patients had hemorrhages exceeding 60 ml. After six months, the mortality rate was 6%. There were four, one, and one fatality among IPH, SAH, and IVH.

CONCLUSION: Nontraumatic spontaneous ICH was most prevalent in 40–60-year-olds. Males are more affected. Hypertension is the main reason. CT improves patient treatment by detecting cerebral hemorrhage early. The most prevalent spontaneous, nontraumatic intracranial hemorrhage was intraparenchymal. Most of the hypertensive intracerebral bleeding begins in the thalamus and basal ganglia.