Computed Tomography Pattern of Non-Traumatic Intracranial Hemorrhage in Tertiary Hospital of Nepal-A Cross Sectional Study
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Abstract
Objective: We aimed to study the pattern of non-traumatic intracranial hemorrhage on Computed Tomography in tertiary hospital of Nepal.
Methodology: 180 cases of intracranial hemorrhage (108 male and 72 female), diagnosed on computed tomography and aged >18 years were enrolled in the study. Cases with known history of trauma and previous intracranial hemorrhage were excluded. CT scan of head was performed in 128 slice Multidetector Philips CT scan Machine using 120 kV and auto mA with multiplanar reconstruction on dedicated workstation. Size and site of hematoma was noted. Intracranial hemorrhage was classified into different types- intraparenchymal, intraventricular, subarachnoid, subdural and epidural. Presence or absence of perilesional oedema was noted separately. SPSS 20 was used for the entry and analysis of the collected data.
Result: Mean age of the study population was 64.6 years ranging from 19 years to 92 years. 60% were male and 40% were female. The most common type of non-traumatic intracranial hemorrhage was intraparenchymal (91.1%) followed by intraventricular (5.6%), subarachnoid (2.2%) and subdural (1.1%). Perilesional oedema was seen in 69.4 % of intracranial hemorrhage. The age group with maximum cases (53.3%) of intracranial hemorrhage was >60 years followed by 50-60 years.
Conclusion: Intraparenchymal type was the most common type of non-traumatic intracranial hemorrhage as seen on computed tomography. Male gender and older age were significantly associated with intracranial hemorrhage.
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