ABSTRACT

Aim: To examine the frequency of chronic hydrocephalus in patients with intracerebral hemorrhage and in-hospital outcomes associated to hydrocephalus with ICH patients.

Study Design: Descriptive/Observational

Place and duration of study: Department of Neurology, Bolan Medical Complex Hospital Quetta from 1^st October 2019 to 31^st March 2020.

Methodology: Eighty patients of both genders with ages 20 to 70 years presented with spontaneous intracerebral hemorrhage were included. Patient’s detailed demographics including age, sex, complete blood picture and comorbidities were recorded. Plain CT was performed at admission. Radiological parameters recorded included the presence of hydrocephalus on CT brain. Every patient was then being observed for outcome within 14 days.

Results: There were 50(62.5%) males and 30(37.5%) were females with mean age 48.15±11.76 years. Hypertension was most common comorbidity found in 56 (70%) patients followed by diabetes mellitus in 18 (22.5%). Hydrocephalus was found in 44 (55%) patients. Overall in-hospital mortality found in 29 (36.25%) patients and 51(63.75%) were survived. Among hydrocephalus patients 21/44 (47.73%) were died and among patients without hydrocephalus 8/36 (22.22%) were died. Mortality was significantly higher in patients with hydrocephalus as compared to without hydrocephalus (p-value <0.05).

Conclusion: The frequency of hydrocephalus in spontaneous intracerebral hemorrhage was high and is highly associated with increased mortality rate.

Keywords: Intracerebral hemorrhage, Hydrocephalus, Mortality, Survived