Prevalence of Intracerebral Hemorrhage and it’s risk factors among stroke cases admitted to Sulaimani General Teaching Hospital
Keywords:
Stroke, Intracerebral hemorrhage, Risk factors, Brain CT scan, MRI, Lipid profile Hypertension.Abstract
Background: Stroke is a common medical problem and a common cause of death and disability in the world. Hemorrhagic and ischemic stroke produce a similar focal neurological deficit, but hemorrhagic stroke patients tended to be more ill.
Although hypertension remains the most common cause of non-traumatic Intracerebral hemorrhage (ICH), several other conditions and lifestyle factors have been associated with ICH such as age, gender, race differences, cigarette smoking, alcohol, drug abuse, anticoagulant treatment, dyslipidemia, and others .
Aims: Our aims are, first, to estimate a prevalence of ICH among stroke cases and it’s incidence within main Sulaimani’s people, in addition to investigate the main risk factors of patients with ICH among stroke cases admitted to General teaching hospital in Sulaimani city.
Patients and Methods: In this study, 108 patients with either ischemic stroke or non-traumatic ICH were enrolled; these patients were recorded in Sulaimani General Teaching Hospital with a special form of demographic data. All patients were thoroughly examined and investigated radiologically with brain CT scan for all and brain MRI for some of them.
Results: Out of 108 stroke patient admitted, 33 patients (30.6%) had ICH, while 75 patients (69.4%) had ischemic stroke, 19 cases (out of 33) (57.58%) of ICH patients were females, while 14 (42.42%) of them were males. The peak age of affection for ICH in males was (50-59) year (Mean=66.43), and (70-79) (Mean=62.95) year for females.
Among the modifiable risk factors of ICH, hypertension remains the most common risk which was present in 25 patients out of 33 (75.8%), but dyslipidemia and diabetes mellitus were other less common risk factors which might have predisposed to the occurrence of ICH .
The predilection sites of hemorrhagic stroke in order of frequency were as the following: lober hemorrhage 36.36%, basal ganglia 36.36%, thalamus 15.15%, brainstem 6.06%, and cerebellum 6.06%.
Conclusions: Spontaneous intracerebral hemorrhage, which is a common cause of mortality and morbidity, is relatively a common form of stroke in our locality which is more predominant in females. Hypertension is the main risk factor for spontaneous ICH.
Key words: Stroke, Intracerebral hemorrhage, Risk factors, Brain CT scan, MRI, Lipid profile Hypertension.
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