Aim: To examine
the frequency of chronic hydrocephalus in patients with intracerebral
hemorrhage and in-hospital outcomes associated to hydrocephalus with ICH
Study Design: Descriptive/Observational
Place and duration of study: Department
of Neurology, Bolan Medical Complex Hospital
Quetta from 1st October 2019 to 31st 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.
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,