الفهرس | Only 14 pages are availabe for public view |
Abstract Summary This work was a prospective cohort study conducted on 72 consecutive patients with S-ICH admitted to the neurovascular units and/or the ICUs of the Neurology Unit, Neuropsychiatry Department as well as The Center of Psychiatry, and Neurology, Tanta University Hospitals in the period from the 1st of December 2016 till the end of September 2017. The aim of this work is to study the incidence of hematoma expansion after primary intracerebral hemorrhage, the predisposing factors to its occurrence and its effect on patient’s survival and degree of disability. Primary ICH was classified regarding the SMASH-U classification. Included patients were diagnosed on their hospital arrival using non-contrast CT brain. The study included patients with parenchymal ICH with or without intraventricular or subarachnoid extensions as well as pure intraventricular hemorrhage if present. Exclusion criteria encompassed patients younger than 18 years old and those with traumatic intracranial hemorrhages, primary subarachnoid hemorrhages, hemorrhagic transformation of a recent ischemic stroke as well as hemorrhage inside a space occupying lesion. Patients who were vitally unstable, died before the follow-up CT, had contraindications to iodinated IV contrasts as well as those with subdural or extradural hematomas were also excluded. This study was carried out on 72 patients with S-ICH submitted to the following: 1) History taking: Including the personal history and associated comorbid conditions such as: Hypertension, Diabetes Mellitus, Dyslipidemia, smoking, drug intake, renal and hepatic diseases. |