Authors : Alok Verma, Saurabh Agarwal, Manish Singh
DOI : 10.18231/j.ijn.2019.029
Volume : 5
Issue : 4
Year : 2019
Page No : 181-188
Introduction: This study is done to evaluate the role of different clinical factors in hematoma enlargement,
especially severe hypertension during the early phase of spontaneous ICH.
Materials and Methods: All patients with spontaneous intracranial hematoma who were of > 18 years in
age, presented within 24 hour of onset, were enrolled for this study. Repeat CT scan was done within 24 -
48 hours after 1st scan.
Results: 88 patients were enrolled and among them, 11 (12.5%) had >20% enlargement in the size of
the hematoma on the second CT. The Mean increase in the size of hematoma was 19.8 11.4 ml (47.3
27.2 %). Progression of symptom after onset and after admission, lower GCS (< 8>
from onset to CT < 6>
the enlargement of the hematoma. Mean systolic BP at admission > 200 mm Hg was present in a higher
proportion of patients with hematoma enlargement.
Conclusion: The present study showed that patients of spontaneous ICH presenting within 6 hours with
higher NIHSS, low GCS (GCS <8>
hematoma enlargement. SBP >200 mm of Hg at admission may be a potential risk factor.
( Hematoma enlargement, NIHSS =National Institute Health Stroke Scale score, GCS =Glasgow Coma
Scale, MAP=mean arterial pressure)
Keywords: ute Health SHematoma enlargement, National Instittroke Scale score, Glasgow Coma Scale