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Research Paper | Emergency Medicine | India | Volume 12 Issue 10, October 2023 | Popularity: 6 / 10

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Evaluating the Clinical Significance of ICH Score in the Management of Intracerebral Hemorrhage: A Prospective Study in Karnataka, India

Keerthana S, Rajanikanth S Malapur, Vijayalakshmi P B

Abstract: Background: Intracerebral hemorrhage (ICH) occurs mainly as a result of hypertension, trauma, arteriovenous (AV) malformations and tumours. Depending on the etiology of hemorrhage, ICH score components like GCS, CT brain findings such as volume of bleed, the presence of intraventricular hemorrhage (IVH) and infratentorial hemorrhage (ITH), the treatment varies. Methods: A prospective observational study was done on 30 patients with spontaneous and traumatic ICH at SDM medical college, Karnataka, India. The patients were assessed by brief history and ICH score parameters ie. GCS, CT brain findings such as ICH volume, IVH and ITH. Medical management or neurosurgical intervention was followed up. Predicted mortality by ICH score was compared with 30 day mortality. Results: Out of 30 patients subjected to study 53.3% had traumatic ICH and 46.7% had spontaneous ICH with one sided weakness. 5 patients with traumatic ICH underwent neurosurgery. No patients with spontaneous ICH underwent neurosurgery. Among all patients with ICH managed medically, predicted mortality was 40% but actual mortality was 16% and in patients underwent neurosurgery, predicted mortality was 80% and actual mortality was 20% thus signifying the necessity of appropriate medical or surgical management of ICH.

Keywords: Arteriovenous malformations, GCS, ICH, ITH, IVH

Edition: Volume 12 Issue 10, October 2023

Pages: 18 - 24

DOI: https://www.doi.org/10.21275/SR23927183141

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