TY - JOUR
T1 - Computed tomography features of spontaneous acute intracranial hemorrhages in a tertiary hospital in Southern Ghana
AU - Edzie, Emmanuel Kobina Mesi
AU - Dzefi-Tettey, Klenam
AU - Brakohiapa, Edmund Kwakye
AU - Gorleku, Philip Narteh
AU - Aidoo, Eric
AU - Agyen-Mensah, Kwasi
AU - Appiah-Thompson, Peter
AU - Amankwa, Adu Tutu
AU - Idun, Ewurama Andam
AU - Quarshie, Frank
AU - Edzie, Richard Ato
AU - Osei, Benard
AU - Dziwornu, Prosper
AU - Asemah, Abdul Raman
N1 - Publisher Copyright:
© Emmanuel Kobina Mesi Edzie et al.
PY - 2021/9/1
Y1 - 2021/9/1
N2 - Introduction: spontaneous acute intracranial hemorrhage (SICH) accounts for approximately 10-15% of all stroke cases. Early detection by computed tomography (CT) and early treatment are key. Hence this study to examine the CT features of SICH. Methods: this retrospective cohort study reviewed all 435 patients diagnosed with SICH from 1st March, 2017 to 1st January, 2021 in a tertiary facility in Southern Ghana. Data collected (age, sex, SICH type and the CT scan features) were organized and analyzed using GNU PSPP and Libre Office Calc. Statistical significance level was pegged at p≤0.05. Results: the SICH types were acute intracerebral hemorrhage (97.93%), acute subarachnoid/intraventricular hemorrhage (1.15%), acute epidural hemorrhage (0.46%) and acute subdural hemorrhage (0.46%). Acute intracerebral hemorrhage was more common in those >60 years (57.75%, p<0.001). The commonest CT feature for acute intracerebral hemorrhage was hyperdense lesion with perilesional edema (40.98%), with smoking (OR=2.24, 95% CI: 1.14-4.41, p=0.019) and anticoagulants intake (OR=2.56, 95% CI: 1.15-5.72, p=0.022) as the predictive factors; followed by hyperdense lesion extending to the edge of the brain (25.03%), also predictable by smoking (OR=0.23, 95% CI: 0.11-0.47, p<0.001); and hyperdense lesion with mass effects (22.70%) was not predictive with any risk factor. Type 2 diabetes mellitus (60.00%, p<0.001) and smoking (97.83%, p<0.001) were more common in males. Conclusion: hyperdense lesion with perilesional edema was the most frequent CT feature for acute intracerebral hemorrhage and was predictable by smoking and anticoagulants intake. Smoking was a predictive factor to the development of most of the features of acute intracerebral hemorrhage.
AB - Introduction: spontaneous acute intracranial hemorrhage (SICH) accounts for approximately 10-15% of all stroke cases. Early detection by computed tomography (CT) and early treatment are key. Hence this study to examine the CT features of SICH. Methods: this retrospective cohort study reviewed all 435 patients diagnosed with SICH from 1st March, 2017 to 1st January, 2021 in a tertiary facility in Southern Ghana. Data collected (age, sex, SICH type and the CT scan features) were organized and analyzed using GNU PSPP and Libre Office Calc. Statistical significance level was pegged at p≤0.05. Results: the SICH types were acute intracerebral hemorrhage (97.93%), acute subarachnoid/intraventricular hemorrhage (1.15%), acute epidural hemorrhage (0.46%) and acute subdural hemorrhage (0.46%). Acute intracerebral hemorrhage was more common in those >60 years (57.75%, p<0.001). The commonest CT feature for acute intracerebral hemorrhage was hyperdense lesion with perilesional edema (40.98%), with smoking (OR=2.24, 95% CI: 1.14-4.41, p=0.019) and anticoagulants intake (OR=2.56, 95% CI: 1.15-5.72, p=0.022) as the predictive factors; followed by hyperdense lesion extending to the edge of the brain (25.03%), also predictable by smoking (OR=0.23, 95% CI: 0.11-0.47, p<0.001); and hyperdense lesion with mass effects (22.70%) was not predictive with any risk factor. Type 2 diabetes mellitus (60.00%, p<0.001) and smoking (97.83%, p<0.001) were more common in males. Conclusion: hyperdense lesion with perilesional edema was the most frequent CT feature for acute intracerebral hemorrhage and was predictable by smoking and anticoagulants intake. Smoking was a predictive factor to the development of most of the features of acute intracerebral hemorrhage.
KW - Computed tomography
KW - Features
KW - Ghana
KW - Spontaneous acute intracranial hemorrhages
UR - http://www.scopus.com/inward/record.url?scp=85123429033&partnerID=8YFLogxK
U2 - 10.11604/pamj.2021.40.226.31934
DO - 10.11604/pamj.2021.40.226.31934
M3 - Article
C2 - 35145588
AN - SCOPUS:85123429033
SN - 1937-8688
VL - 40
JO - Pan African Medical Journal
JF - Pan African Medical Journal
M1 - 226
ER -