Abstract

Spontaneous intracerebral hemorrhage (ICH) is defined as non traumatic bleeding into the brain parenchyma which can extend into the ventricles and into the subarachnoid space. It is the second most common subtype of stroke, accounting for 10–50 % of all cases, depending on the population, race, and region. Materials and Methods: This is a prospective study conducted for 24 Months, from November 2017 to November 2019 in Mamata Medical College & Super Specialty Hospital, Khammam. A total of 60 patients are included in this study and each patient was resuscitated, investigated, and treated in ICU after admission. Results: In the present study, out of 60 patients 42 males and 18 females, the most common age group is seen in 61-70 yrs which is 55% followed by 51-60 yrs which is 25%. In the present study Hypertention is the most common risk factor in about 37% cases followed by Smoking in 35% cases. The mean Preop GCS in Decompressive craniectomy is 10.84+2.42 where as in Decompressive craniectomy and Evacuation of hematoma group is10.21+3.32 and in Endoscopic Evacuation of hematoma group 2.96+0.74 and the P value is 0.773 which is not significant. Post op GCS was improved in all the 3 groups but this is not statistically significant with a P value is 0.225, the mean duration of icu stay in Endoscopic evacuation of hematoma group is 4.04+1.01 compared to other two groups which is 11.16+4.81 and 10.63+4.87 and the P value is 0.001 which is statistically significant. Conclusion:The mortality rate is higher in decompressive craniectomy group compared to other two groups, Pre op GCS has a major role for outcome of the patient Patient with superficial and lobar bleeds had significant GOS and mRS outcome compared to deep seated bleeds

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