Perfil epidemiológico da hemorragia intracerebral espontânea

Abstract

Objective: To analyze the epidemiological profile of spontaneous intracerebral hemorrhages (HICE). Methods: A cross-sectional, prospective, descriptive study, based on analysis of 118 patients with confirmed HICE of neurosurgery at the Hospital Emergency Sergipe (HUSE) diagnosis. Results: Males were more affected, 69 (58.5%) cases; predominant age over 65 years in 47.5% of cases. The topography was most affected the basal ganglia of 48 (40.7%), followed by lobar (32.2%), thalamus (15.3%), cerebellum (6.8%) and brainstem (5.1 %). Patients with risk factors amounted to 79.7%. As for the score on the Glasgow Coma Scale (GCS) on admission, 70.3% of patients scored below nine. The mean initial hematoma volume was 51.4 cm3. Eighty-seven cases underwent conservative treatment (74%). The mortality rate was 34.7%. Conclusion: The HICE requires, by its epidemiology and its high mortality, rapid and incisive response for patients to receive the best possible treatment. For the response to be effective, it is necessary to recognize the risk factors and the factors that might change early mortality from this cause.