Outcome of Haemorrhagic Stroke in Relation to Size of Hematomas and Ventricular Extension at Presentation

Intracerebral haemorrhage (ICH) is caused by bleeding within the brain tissue and accounts for about 7%-15% of all strokes. It is the most devastating type of stroke with mortality rate of 34%-51%. This study was done to determine the predictors for short-term mortality in primary intracerebral haemorrhage (ICH) patients in relation with size of hematoma and ventricular extension determined by computed tomography (CT) scan at presentation. Study was conducted over 100 admitted patients in the department of Medicine and Neurology, Sher-E-Bangla Medical College Hospital, Barisal, Bangladesh for a duration of one year from 1st July 2010 to 30th June 2011. Data was collected in hospital directly from patient or their attendance. CT scan findings at presentation were correlated with the outcome. Poor outcome was associated with a hematoma volume of more than 30ml (80%) and presence of ventricular extension (88.2%). Mortality was 40% in first month, most of the death occurred in first 7 days (95%). Though outcome and functional status at discharge were well correlated with the initial CT scan findings but larger study with greater matched variables, risk factors and long-term follow-up is needed to make a concrete comment.