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Abstract

Intracerebral hemorrhage (ICH) accounts for 10 to 15% of all strokes, and is found to have a disproportionately high morbidity and mortality.1 Extension of the hemorrhage intothe ventricles (40% occurrence) can happen early or late in the course of events.2 OBJECTIVE: To determine the frequency of Intraventricular extension in patients with intracerebralhaemorrhage and its outcome at day 30 by measuring disability using Modified Rankin Scale.STUDY DESIGN: Descriptive case series.PLACE AND DURATION OF STUDY: Study was carried out from 1st December 2010 to 31st May, 2011 in the department of Neurology, PIMS, Islamabad, Pakistan SUBJECT AND METHODS:93 patients of intracerebralhaemorrhage were enrolled in the study and the site of bleeding and its intraventricular extension noted on CT scan and outcome was measured by using mRS at discharge and at day 30. RESULTS:Total numbers of patients were 93. Mean age was 61.31±16.37 years. Mean duration of hospital stay was 4.06±2.08 days. Mean mRS at Admission was 4.55±0.69.Intraventricular extension of the intracerebral hemorrhage was seen in about half of the cases (50.5%). A higher number of patients were seen in mRS 5 in patients withintraventricular extension at admission. At Discharge 17 patients were dead in intraventricular extension group compared to 5 with no intraventricular extension group. The outcome was poor at day 30 as about half of patients (23 out of 47) with intraventricular extension of hemorrhage were dependent.CONCLUSION:Intraventricular extension of the intracerebral hemorrhage was seen in about half of the cases andits outcome at day 30 was poor.

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