Abstract

Context and Objective: Hemorrhagic Cerebrovascular Accident represents 10 to 15% of all strokes and are often related to the spontaneous rupture of small vessels weakened by chronic arterial hypertension, amyloid angiopathy, tumor bleed, arteriovenous malformation (AVM), and coagulopathies. The aim of this study was to determine probable prognostic indicators in functional outcomes of patient with ICH.rnPatients and Method: This was a retrospective analytical study of all patients (men and women, of all ages) who were hospitalized at the Neurology Department of the University Hospital of Conakry for an intracerebral hematoma over the 24-month period. Only the records of patients in whom intracerebral hematoma was confirmed by brain imaging were included in this study. The variables studied were epidemiological, clinical, and paraclinical. Therapeutic, evolutionary and prognostic variables were also taken into account. Logistic regression (univariate and multivariate) was used to identify the prognostic determinants of intracerebral hematomas at p < 0.05. Data were entered using Epi Info software version 7.1.4.0 and then analyzed using STATA/SE software version 11.2.rnResults: We collected 105 cases of spontaneous cerebral hematomas confirmed by brain imaging, i.e. a frequency of 21%. Both sexes were found, with a male predominance of 60% and a sex ratio of 1.50. Arterial hypertension was identified as the cause in 94 patients (89.52%) out of the 105 patients analyzed in this series, followed by arteriovenous malformations in 6.67% of the patients, 2.86% of cases of amyloid angiopathy and 0.95% of unknown cause. During the hospitalization of the patients, we recorded 20% of deaths.rnConclusion: Previous quality of life, comorbidities affects the prognostic course in patient with ICH and should be taken into account in the prediction of disability and future quality of life of patients with intracerebral hematoma.