Document Detail

Spontaneous intracranial haemorrhage: computed tomographic patterns in Accra.
MedLine Citation:
PMID:  12081348     Owner:  NLM     Status:  MEDLINE    
The diagnosis of stroke and the ability to distinguish the subtypes is central in the management of patients. This CT study has confirmed an increased prevalence of stroke (CVA) among Ghanaians. It has also reaffirmed a relatively higher incidence (52.9%) of spontaneous intracranial haemorrhage over cerebral infarcts among the 1,172 stroke patients studied. The study points to a male preponderance and a mean age of 55.7 years. Parenchymal haemorrhage was found to be the commonest variety of these haemorrhages. It occurred in 83.6% of cases while primary subarachnoid haemorrhage was reported in only 8.1% of cases. Ventricular extension of the parenchymal haemorrhage was reported in 22.7% of cases. The latter were mostly unilateral and on the left side especially in the parietal lobe (70.9%), subdural haemorrhage like the parenchymal variety was also reported to be more on the left, mainly unilateral and acute. Haemorrhages in the cerebellum and pons which are normally difficult to diagnose were also outlined with ease in the CT images. Other CT findings in these patients include parilesional oedema and mass effect found in 87.10% and 77.4% respectively.
M O Obajimi; P K Nyame; K B Jumah; E K Wiredu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  West African journal of medicine     Volume:  21     ISSN:  0189-160X     ISO Abbreviation:  West Afr J Med     Publication Date:    2002 Jan-Mar
Date Detail:
Created Date:  2002-06-25     Completed Date:  2002-07-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8301891     Medline TA:  West Afr J Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  60-2     Citation Subset:  IM    
Department of Radiology, Korle Bu Teaching Hospital, University of Ghana Medical School, Accra.
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MeSH Terms
Aged, 80 and over
Ghana / epidemiology
Intracranial Hemorrhages / classification,  epidemiology,  radiography*
Middle Aged
Stroke / classification,  epidemiology,  radiography*
Tomography, X-Ray Computed

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