Evaluation of Intracerebral HaemorrhageUsing Multidetector CT Scan

Abstract

Intracerebral hemorrhage (ICH) is when blood suddenly bursts into brain tissue, causing damage to the brain. It is most often caused by hypertension and is associated with increased intracranial pressure. ICH usually occurs in the basal ganglia, thalamus, pons and cerebral and cerebellar white matter. Cross-sectional descriptive population-based incidence study aimed to assess the intracerebral hemorrhage using CT scanning through identifying the site, size and intensity of the intracerebral hemorrhage, to identify the main causes and predisposing factors, and to test the correlation between those factors. Head CT have been taken from 63 patient (22 females, 41 males) who came to Al-Zaytouna and Ibrahim Malik HospitalsandYastabshiroon Medical Centers. The machine used are Toshiba model aquilion 64 instillation 2010 with detector type 64 rows and 4 rows. And GE model duel instillation 2001 with detector type 4 rows. The Data was analyzed by SPSS and excel. The data showed that the majority of the cases were suffering from hypertension 65%,the patients were checked for some predisposing factors that might have great correlation to the intracerebral hemorrhage. The majority of the patients were having hypertension 67% mostly among males. The data showed that most of which have had lobar intracerebral hemorrhage 61.9 %, to a lesser extend thalamic, cerebellar and basal ganglia intracerebral hemorrhage 14.3%, 12.7% and 1.6% respectively. The results showed that there is no significant correlation between the causes and size (P= 0.508) and there is no significant correlation between the site and size (P= 0. 669) but the data revealed that there is significant correlation between the causes and site (P= 0. 019). It is recommended further studies to compare between the CT and MRI in diagnosing the intracerebral hemorrhage. And to use more data sample size to test the incidence of all intracerebral hemorrhage causes and sites. It is also recommended further studies to assess ethnic group over the type and site of the intracerebral hemorrhage. And to conduct more studies to assess any predisposing factor that might have role in the intracerebral hemorrhage.