A PILOT STUDY TO CORRELATE THE EFFECT OF RISK FACTORS ON SPONTANEOUS INTRACRANIAL HEMORRHAGE

Objectives: To determine the degree of association and effect of various risk factors on Spontaneous intracranialhemorrhage.Background: Spontaneous Intracranial Hemorrhage is the Spontaneous Pathological accumulation of blood in thecranium. A distinction is made between intra-axial hemorrhage (blood inside the brain) and extra-axial hemorrhage(blood inside the skull but outside the brain). When this event manifests in sudden onset of focal neurological deficitthat lasts for more than 24 hours it is known as Hemorrhagic stroke. Intracranial hemorrhage accounts for 8-13%of all strokes and results from a wide spectrum of disorders. Intracranial hemorrhage is more likely to result in deathor major disability than ischemic stroke. This study compared the clinical presentation of patients presenting withintracranial hemorrhage and determined the reliability of each feature associated with this event.Methods and Materials: This descriptive study was conducted on 100 patients of Spontaneous Intra-cranialHemorrhage at Mardan Medical Complex Teaching Hospital [MMCTH], Mardan from Jan 2012 to Oct 2012.An in-depth history and examination was conducted in order to look for features that can be consistently linked withthis clinical event. Results: We found that vigilant history and clinical examination reveals strong affiliation betweena few features and this clinical event. Conclusions: After taking a comprehensive history and methodical clinical examination a strong affiliation of Old age, Headache, vomiting, Hemiplegia, Hypertension and smoking was foundwith Spontaneous intracranial hemorrhage.Key Words: Spontaneous intra-cranial hemorrhage, Stroke, Hypertension.