Abstract

Background: Spontaneous intra cerebral hemorrhage is defined as bleeding in brain parenchyma which is lethal at times. Various factor affect the outcome of patient with intra cerebral hemorrhage. rnObjective: Aim of this study is to study the clinical outcome of hypertensive supratentorial intra cerebral hemorrhage and influence of medical and surgical management and to compare the results with literature and assess the volume and location of the hemorrhagic lesion and to correlate with clinical picture and prognosis.rnMethod and materials: The present study conducted at VS hospital, SVP Hospital and NHL Municipal Medical College during the period from December 2018 to December 2020. 100 patients with intra cerebral hemorrhage diagnosed by clinical examination and CT scan and included.rnResult: The maximum incidence of patients was found in age group between 40 and 70 years, with Male preponderance. 50% were treated with medical management while 50% were treated with surgical management. Morbidity and mortality were higher in patients with low values of GCS and large volume of hemorrhage.rnConclusion: Patients with higher GCS and low volume of hemorrhage at time of presentation are benefited by medical treatment while patients with low GCS and larger hemorrhage with signs of raised ICT are benefited by surgical management.