Abstract:
Background: Spontaneous intraparenchymal haemorrhage (IPH) may be defined as bleeding within brain parenchyma in absence of any trauma or surgery. Serious disabling and deadly type of stroke is spontaneous IPH. The most affected hemisphere is still ambiguous. The purpose of our study is to find out the most involved cerebral hemisphere of spontaneous IPH.
Matrilas and Methods: Total 38 numbers patients were diagnosed as spontaneous ICH and they have been first time admitted in Combined Military Hospital (CMH) Dhaka, between July 2021 and 15th December 2021. All patients were randomly allocated and sampling was done as per inclusion and exclusion criteria. Diagnosis was done based upon details history, meticulous clinical examination and investigation. Non-contrast Computed Tomography (CT) scan of head was done to confirm diagnosis as well as site of lesion identification. Analyses of statistics were performed by using the Statistical Package for Social Sciences version 26 for Windows (SPSS).
Results: In our study 38 cases were finally selected as ‘Spontaneous intraparenchymal haemorrhage’ was diagnosed clinically and confirmed by CT scan. It was observed that most of our patients are male 29 (76.32%) and female only 9(23.68%) in number. Regarding age distribution; old age is more affected, ≥ 60 years 23(60.53%) and least are young adult only 1(2.63%). It was noticed that out of 38 patients 19(50%) subjects had sole hypertension (HTN) and next one is mixed pathology 6(15.79%). Regarding site of intraparenchymal hemorrhage, it was noticed that dominant (left) cerebral hemisphere is more common 24(63.16%) than that of opposite right hemisphere (non-dominant).
Conclusion: Dominant cerebral hemisphere (usually left) is highly metabolically active with raised blood flow. The highest rate of intraparenchymal hemorrhage incidence is on that hemisphere.
