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Updated: Jun 7, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
Intracerebral hemorrhage
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.
Objective:
To study intracerebral hemorrhage (ICH) at Jordan University Hospital (JUH) with the aim of assessing prevalence, age/gender distribution, causes, clinical manifestations, and location of ICH on CT brain, treatment modalities and outcome, and to compare these findings with those from Middle Eastern and Western literature.
Methods:
Among 1498 patients with stroke seen over a 6-year-period, from January 2002 to December 2007 at JUH, Amman, Jordan, 100 patients with spontaneous ICH were studied retrospectively.
Results:
The prevalence of ICH was 6.7%. The mean age was 61 years, with 71 males, and 29 females. The most common cause was hypertension, alone or combined with the use of aspirin and/or warfarin. The most common clinical manifestations were hemiparesis/plegia, impaired level of consciousness (mean Glasgow coma scale [GCS] score = 7.3) and headache/vomiting. The most common location on CT brain was in the basal ganglia (61 patients). Seventy-nine patients received medical treatment and 21 had surgery. Forty-two patients died after a mean of 7 days (ranging from one day to 6 weeks). The factors related to mortality were old age >68 years, GCS <8, intraventricular extension of ICH on CT brain and the presence of other comorbidities. Among 58 survivors, 50 were left with neurological deficit, predominantly hemiparesis/plegia in 46 patients. Twelve patients were left with chronic epilepsy.
Conclusion:
This study shows a lower prevalence of ICH compared to developed countries, a similar age and gender distribution, and hypertension as the major risk factor, which should be the focus of public health in Jordan and the Arab World.
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