%0 Journal Article
%T Management of Spontaneous Intracerebral Haemorrhage (sICH) at the University Hospital of Brazzaville (CONGO)
%A Ekouele Mbaki Hugues Brieux
%A Ngoma Niangui L¨¦ocia Exauc¨¦e
%A Diatewa Josu¨¦ Euberma
%A Boukaka Kala Rel Gerald
%A Ngackosso Olivier Brice
%A Mpandzou Ghislain Armel
%A Boukassa L¨¦on
%A Ossou-Nguiet Paul Macaire
%J Neuroscience & Medicine
%P 23-38
%@ 2158-2947
%D 2024
%I Scientific Research Publishing
%R 10.4236/nm.2024.151002
%X <p>
	<span style=\"font-family:;\" \"=\"\">Spontaneous
intracerebral</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\">haemorrhage
(sICH) is characterised by bleeding within the brain parenchyma, without any
accompanying vascular malformation, parenchymal abnormality or coagulation
disorder. The study aimed to depict the management of sICH at the University
Hospital of Brazzaville (UHB).</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\">It was
an observational, descriptive, and cross-sectional analysis. Data collection
was conducted retrospectively, covering the period from</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\">January 1, 2020</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\">to</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\">August
31, 2022, spanning two years and eight months.</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\">The
study ex</span><span style=\"font-family:;\" \"=\"\">amined socio-demographic,
diagnostic, therapeutic, and evolutionary variables. We included 274 cases. We
observed 160 men (58.4%) and 114 women (41.6%),</span><span style=\"font-family:;\" \"=\"\"> resulting in a sex ratio of 1.4.</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\">The mean age was 55.3 ¡À 11.4 years, with ages
ranging from 31 to<span> 93 years. The detection of
sICH was typically a result of e</span><span>xperiencing
motor deficits (59.5%) or disorders of consciousness (37.2%). The weightiness
of one half of the body was the most common reason fo</span><span>r</span><span> seeking
medical advice. Hematoma was capsulo-lenticular in 159 cases (58%) and
capsulo-thalamic in 63</span> cases (23%). Hematomas were &lt;30 ml in 162
cases (59.1%) and &gt;30 ml in 112 cases (40.9%), and associated with</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\">hydrocephalus</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\">in 11<span>.7% of cases. Conservative medical treatment was
administered in 257 cases (94.2%) while surgical treatment was performed in 16
cases (5.8%). The surgical techniques used were external ventricular drainage
(EVD) in 2 cases, ventriculo-peritoneal shunt in 5 cases, and hematoma
evacuation in 10 cases. Death occurred be</span>fore the 7th day of
hospitalisation in 73 cases (57.8%) and
%K Spontaneous Intracerebral haemorrhage
%K Management
%K Brazzaville
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=131040