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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Comprehensive Analysis of Etiology and Surgical Results in Spontaneous Intracerebral Hemorrhage Cases

Golla Ramakrishna, K. Jagadeesh Babu and K.V.V. Satyanarayana Murthy
Page: 39-43 | Received 22 Nov 2023, Published online: 31 Dec 2023

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https://doi.org/10.36478/10.59218/makrjms.2024.3.39.43

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Abstract

Spontaneous intracerebral hemorrhage (ICH) is a significant cause of stroke, leading to high mortality and morbidity. This study aims to analyze patient demographics, clinical history, surgical interventions, and postoperative outcomes in patients with spontaneous ICH. This retrospective cohort study involved 45 patients diagnosed with spontaneous ICH at a tertiary care center. Patient selection criteria included confirmed ICH diagnosis through neuroimaging, age over 18 years and exclusion of ICH due to trauma, aneurysm, or arteriovenous malformation. Data on demographics, clinical history, ICH characteristics, surgical interventions, and postoperative outcomes were collected. Statistical analysis involved descriptive statistics, chi‐square tests and t‐tests/ANOVA. Patient demographics indicated a mean age of 62.17 years and elevated systolic blood pressure (135.92 mmHg). ICH characteristics showed a mean hemorrhage size of 32.33 mL, with common locations being deep and cerebellar regions. Surgical interventions included 19 open craniotomies and 26 minimally invasive surgeries, with a low complication rate. Postoperative outcomes varied, with a mean recovery time of 32.17 days and significant improvements in neurological status assessed by the Modified Rankin Scale (mRS). The study provides insights into the characteristics and outcomes of patients with spontaneous ICH. It underscores the complexity of ICH management, highlighting the role of patient‐specific factors in surgical decision‐making and recovery. The findings suggest the need for personalized treatment approaches in the management of ICH.

How to cite this article:

Golla Ramakrishna, K. Jagadeesh Babu and K.V.V. Satyanarayana Murthy. A Comprehensive Analysis of Etiology and Surgical Results in Spontaneous Intracerebral Hemorrhage Cases.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.3.39.43
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.3.39.43