Abstract:
Background: Spontaneous intracerebral haemorrhage (ICH) is an intraparenchymal bleeding in the absence of trauma or surgery. Although it occur lesser in relation to ischemic one but is most disabling and deadly type of stroke. Adult age is more prone than younger age group; regarding incidence in very older group is still ambiguous. This study is done to observe spontaneous haemorrhagic stroke in relation of extreme age group.
Materials and Methods: The study design is prospective study. Total 195 patients were diagnosed as spontaneous ICH and they have been first time reported & admitted in Combined Military Hospital (CMH) Dhaka, between Jan 2018 and December 2019. Diagnosis was based on history, clinical examination and confirmed by non-contrast Computed Tomography (CT) scan of brain. Statistical analyses were done with using the Statistical Package for Social Sciences (SPSS) version 26.
Results: Total admitted 195 patients in CMH Dhaka from Jan 2018- Dec 2019 are included in our study who full-fill the criteria. Males were 141(72.31%), females were 54(27.69%) and were aged between 18 and 95 years. There is significant relationship of spontaneous ICHs with the age. Rate of spontaneous intracerebral haemorrhage among age group, ≥25 – 74 years, 182(93.33%) whereas Ë‚25 years only 1(.51%) and ≥75 years 12(6.15%) patients; so extreme age group affected only 13(6.67%). Regarding aetilogy of 195 patients, Hypertensive 127(65.13%), Coagulopathy 16(8.21%), Unknown aetiology 12(6.15%) and most common association is hypertension.
Conclusion: Mostly affected intracerebral hemorrhage is middle age group population. Hypertension is also major factor for this incidence. Extreme age is less vulnerable for spontaneous ICH.
