Intracerebral hemorrhage

Yacoub G Bahou1

  • 1Neurology Section, Internal Medicine Department, Jordan University Hospital, PO Box 13046, Amman, Jordan. Tel. +962 5353444. Fax. +962 5353388.

Insights

Intracerebral hemorrhage (ICH) in Jordan showed a 6.7% prevalence, with hypertension as the main cause. This study highlights the need for public health focus on hypertension in the region.

Area of Science:

  • Neurology
  • Public Health
  • Radiology

Background:

  • Intracerebral hemorrhage (ICH) is a significant cause of stroke-related morbidity and mortality.
  • Understanding the epidemiology and characteristics of ICH is crucial for targeted public health interventions.

Purpose of the Study:

  • To determine the prevalence, demographics, causes, clinical features, and outcomes of intracerebral hemorrhage (ICH) at Jordan University Hospital.
  • To compare these findings with existing literature from the Middle East and Western countries.

Main Methods:

  • A retrospective study of 100 patients with spontaneous intracerebral hemorrhage (ICH) diagnosed via CT brain.
  • Data collected over a 6-year period (January 2002 to December 2007) from 1498 stroke patients.

Main Results:

  • The prevalence of ICH was 6.7%, with a mean age of 61 years and a male predominance (71%).
  • Hypertension was the most common cause, often combined with aspirin/warfarin use. Basal ganglia was the most frequent ICH location.
  • Mortality rate was 42%, with factors including older age, low Glasgow Coma Scale (GCS) score, intraventricular extension, and comorbidities. Survivors often experienced neurological deficits.

Conclusions:

  • Jordan exhibits a lower ICH prevalence than developed nations but similar demographic and risk factor profiles.
  • Hypertension is identified as the primary modifiable risk factor, necessitating focused public health strategies in Jordan and the Arab World.
Abstract

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