Men Puthik and Le Van Tuan
University of Medicine and Pharmacy HCM Khmer Soviet Friendship Hospital, Cambodia
Posters & Accepted Abstracts: J Neurol Neurophysiol
Background: Headache is one of the most common reasons for an emergency room visit. The frequencies of a headache among ICH
patients varies with the different study. We aimed to describe and classify headaches associated with acute ICH and its relationship
with the 30 days mortality rate.
Methods: Two hundred consecutive patients with intracerebral hemorrhage were evaluated after admission within 7 days of symptom onset to Cerebrovascular Department at 115 People Hospital. A prospective study of a headache in ICH patients was carried out between December 2014 and March 2015. CT scan was performed in all patients. The data were assessed using the SPSS 16.0. In the data analysis, multivariate regression analyses were used. The p-value <0.05 is considered significant.
Results: One hundred and five (52.5%) patients with ICH had a headache at the onset of their stroke. A headache was more common in lobar and cerebellar hemorrhage than in deep ones. A headache was also more common in patients between 51 ‚?? 69 years of age, history of hypertension, nausea or vomiting, GCS <15, and those with meningeal signs, hematoma volume >10 mL, ICH in the right hemisphere, midline shift >10 mm, intraventricular bleeding. The severity of a headache was associated with age <70, infratentorial hemorrhage but it wasn‚??t related to hematoma volume, age, gender, intraventricular hemorrhage. In multiple logistic regression analysis, the only history of hypertension, history of a headache, nausea or vomiting, GCS<15, right hemisphere hemorrhage, infratentorial hemorrhage, and intraventricular hemorrhage were significant predictors of a headache at the onset of ICH. Location of a headache is more prevalence of diffuse (47.6%) than lateralized and of ipsilesional than a contralesional headache. The mortality rate 30 days after the ICH event was 2.5%. Three factors (GCS<15, hematoma volume, and headache) were significantly associated with death (p<0.05).
Conclusions: a Headache is a common symptom in ICH patients and predicts an outcome. A headache is associated with the history of hypertension, history of a chronic headache, nausea or vomiting, GCS<15, right hemisphere ICH, infratentorial ICH, and intraventricular hemorrhage. The patient who could express the presence of a headache at the onset of ICH have higher mortality than patients who could express the absence of a headache.
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