D. Venkata Ramana Rao1 , Vinay N.V.P2 , Sunil Kumar Ravuri3 , Pottala Krishna Mohan4
BACKGROUND The type of haemorrhage that occurs inside the cranium is called intracranial haemorrhage. Worldwide, Computed Tomography (CT) is a widely used method in the evaluation of patients with intracranial haemorrhage. We wanted to determine the age group and sex distribution of spontaneous intracranial haemorrhage and assess the prognostic value of CT findings in spontaneous intracranial haemorrhage. METHODS This observational cross-sectional study was conducted over a period of 18 months using Toshiba Alexion 16 slice CT machine. CT examination was performed in supine position. Serial CT sections of brain were obtained from orbitomeatal line at 5 mm intervals in posterior fossa and 10 mm interval thereafter. CT Images were analysed for location, size, number, margins, surrounding oedema, mass effect, effect on ventricles, calcification and contrast enhancement. Statistical analysis was performed by SPSS Software Trial Version 21 and MS Excel 2007. RESULTS All 104 cases above 10 years of age referred to the Department of Radiodiagnosis at GSL Medical College, Rajahmundry, with suspected spontaneous ICH were studied. CONCLUSIONS CT is useful in detecting the site, size, mass effect and ventricular extension of the intracranial bleed which aid in assessing the prognosis. CT scan hass added a new dimension in preoperational evaluation of patients with intracranial haemorrhage.
