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Greenberg, S.M., Ziai, W.C., Cordonnier, C., Dowlatshahi, D., Francis, B., Goldstein, J.N., Hemphill, J.C., Johnson, R., Keigher, K.M., Mack, W.J., Mocco, J., Newton, E.J., Ruff, I.M., Sansing, L.H., Schulman, S., Selim, M.H., Sheth, K.N., Sprigg, N., Sunnerhagen, K.S. and AHA/ASA (2022) Guidelines for the Management of Patients with Spontaneous Intracerebral Hemorrhage: A Guideline from the American Heart Association/American Stroke Association. Stroke, 53, e282-e361.
https://doi.org/10.1161/STR.0000000000000407

has been cited by the following article:

• TITLE: Management of Spontaneous Intracerebral Haemorrhage (sICH) at the University Hospital of Brazzaville (CONGO)

  AUTHORS: Ekouele Mbaki Hugues Brieux, Ngoma Niangui Léocia Exaucée, Diatewa Josué Euberma, Boukaka Kala Rel Gerald, Ngackosso Olivier Brice, Mpandzou Ghislain Armel, Boukassa Léon, Ossou-Nguiet Paul Macaire

  KEYWORDS: Spontaneous Intracerebral haemorrhage, Management, Brazzaville

  JOURNAL NAME: Neuroscience and Medicine, Vol.15 No.1, February 5, 2024

  ABSTRACT: Spontaneous intracerebral 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). It was an observational, descriptive, and cross-sectional analysis. Data collection was conducted retrospectively, covering the period from January 1, 2020 to August 31, 2022, spanning two years and eight months. The study examined socio-demographic, diagnostic, therapeutic, and evolutionary variables. We included 274 cases. We observed 160 men (58.4%) and 114 women (41.6%), resulting in a sex ratio of 1.4. The mean age was 55.3 ± 11.4 years, with ages ranging from 31 to 93 years. The detection of sICH was typically a result of experiencing motor deficits (59.5%) or disorders of consciousness (37.2%). The weightiness of one half of the body was the most common reason for seeking medical advice. Hematoma was capsulo-lenticular in 159 cases (58%) and capsulo-thalamic in 63 cases (23%). Hematomas were 30 ml in 112 cases (40.9%), and associated with hydrocephalus in 11.7% 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 before the 7th day of hospitalisation in 73 cases (57.8%) and after in 46 cases (42.2%). The median time to death was four days (Q1 = 2 days; Q3 = 7 days), with extremes of 0 and 216 days.