Aetiology of Spontaneous Intracerebral Haemorrhage in Young Adults Admitted at a Tertiary Care Hospital in Dhaka | Science Publications

摘要

> >Spontaneous Intracerebral Haemorrhage(SICH) in young adult occurs due to multiple risk factors. The purpose of thepresent study was to determine the aetiological factors of spontaneousintracerebral haemorrhage in the young adult patients. This case control studywas carried out in the Department of Neurology, Department of Neurosurgery andDepartment of Internal Medicine at Dhaka Medical College Hospital, Dhaka from September2010 to August 2011 for a period of one (01) year. Patients aged 15 to 45 yearswho presented with spontaneous intracerebral haemorrhage were taken as case(Group A) and those more than 45 years of age with spontaneous intracerebralhaemorrhage were taken as control (Group B). All the aetiological factors wererecorded in a predesigned data sheet. A total of 430 patients with clinicalfeature of stroke were admitted through emergency and outpatient departmentduring the study period, of which 152(35.34%) patients had spontaneousintracerebral haemorrhage. Based on the inclusion and exclusion criteria 35patients were recruited from 15-45 years age range as case and 25 patients wererecruited as control. The risk factors of SICH in younger patients were arteriovenousmalformation (45.7%), toxaemia of pregnancy (31.4%), hypertension (17.1%),cavernous angioma (2.9%), bleeding disorder (2.9%) and coagulation disorder(2.9%). In patients 45 years most of the ICH was due to HTN (52%) followedby arteriovenous malformation (20%). In conclusion arteriovenous malformationis the most common aetiological factors of young stroke patients followed byhypertension and toxaemia of pregnancy.