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.