Vol. 5, Issue 1, Part A (2023)

Background: Spontaneous Intracerebral Haemorrhage (ICH) may be defined as it is the bleeding within brain tissue in absence of trauma or surgery. Usually it occur lesser than ischemic stroke but is much higher disabling and deadly than all types of stroke. Although adult age is more susceptible than younger age; but incidence in very older group is still ambiguous. The purpose of this study is to observe spontaneous ICHs in various age group specially in very old age.

Methods: A total 186 patients were diagnosed as spontaneous haemorrhagic stroke and they have been first time reported & admitted in Combined Military Hospital (CMH) Dhaka, between January 2018 and October 2019. Diagnosis was based upon details history, meticulous clinical examination and finally confirmed by non-contrast Computed Tomography (CT) scan of brain. Statistical analyses were performed by using Statistical Package for Social Sciences (SPSS) version 26.

Results: Total 186 patients were admitted in CMH Dhaka from Jan 2018- Oct 2019 and selected for our study who full-fill the criteria. Male patients were 137(73.66%), female 49(26.34%) and aged 18 years and above. There is remarkable relationship of spontaneous intracerebral haemorrhage with the age variables. Rate of spontaneous ICH among age group, ≥25 – 74 years, 175(94.08%) whereas ˂25 years only 1(.54%) and 75-79 years 8(4.30%) and ≥80 years 2(1.08%) patients. So raising age like middle and old age affected much 183(98.38%) but very old age is less affected only 2(1.08%) patients. Regarding aetilogy of spontaneous ICHs of 186 patients, Hypertensive 124(66.67%), Coagulopathy 16(8.60%), Amyloid angiopathy 14(7.53%), Idiopathic 12(6.45%) and hypertension is most common association.

Conclusion: Hypertension, coagulopathies are most risk factors of ICHs. Advancement of age of patients are more susceptible to haemorrhagic stroke but very old age is less vulnerable to spontaneous ICH.