scholarly journals Study of clinical profile and its effect on outcome of spontaneous intracerebral haemorrhage in a medical college, Varanasi

2020 ◽  
Vol 10 (3) ◽  
pp. 203-208
Author(s):  
Kalpana Kumari ◽  
◽  
Arun Kumar Singh ◽  
Prabhat ◽  
◽  
...  
Keyword(s):  
Intracerebral Haemorrhage ◽  
Clinical Profile ◽  
Medical College ◽  
Spontaneous Intracerebral Haemorrhage

scholarly journals Outcome of External Ventricular Drainage in Spontaneous Intracerebral Haemorrhage with Ventricular Extension in different GCS Score

2019 ◽  
Vol 4 (3) ◽  
Keyword(s):  
Intracerebral Haemorrhage ◽  
Glasgow Outcome Scale ◽  
External Ventricular Drainage ◽  
Medical Emergency ◽  
Ventricular Drainage ◽  
Scoring Method ◽  
College Hospital ◽  
Medical College ◽  
Gcs Score ◽  
Spontaneous Intracerebral Haemorrhage

Background: Intracerebral Haemorrhage (ICH) is a medical emergency of the highest degree with frequent early neurological deterioration or death. External ventricular drainage (EVD) is the procedure of choice for the treatment of spontaneous intracerebral haemorrhage with ventricular extension or blood within the ventricles, acute hydrocephalus and increased intracranial pressure in patients of intracerebral haemorrhage and subarachnoid haemorrhage (SAH) with hydrocephalus and its sequelae. Objective: The aim and objective of this study was to predict the outcome of pre operative GCS following external ventricular drainage in spontaneous intracerebral haemorrhage with ventricular extension. Method: In this was prospective observational studies, a total number of 60 cases were taken purposively for a period of July, 2015- March, 2017 diagnosed by CT scan of brain at Department of Neurosurgery, Dhaka Medical College Hospital. All the patients, fulfilling the inclusion and exclusion criteria, were enrolled for the study. For assessing outcome of EVD in post operative patients and evaluating the efficacy of EVD surgery in follow ups. Glasgow Coma Scale and Glasgow Outcome Scale scoring method for patient assessment were used for outcome of EVD surgery. Result: A total of 60 patients were included in this study, age range was 45 to 86 years. Majority patients, 24 (40.0%) were from 61-70 years of age. The mean age was found 62.0±20. It was observed that 24 (40.00%) patients had GCS 5. GCS 6 was observed in 14(23.33%) patients. GCS 5 and 6 were not found post operatively in any cases. GCS 7 was observed in 14 (23.33%) cases. Whereas, GCS 8, 9, 10 were found in 11 (18.33%), 13 (21.66%), 10(16.66%) cases respectively and 4 cases were died on first post operative day. In most cases GCS level rose to 2 points. GOS at 7th POD died total 12 (20.00%) cases. It was observed that 48 (80.00%) patients were alive Moderate disability existed in 12(25.00%) cases. Again, severe disability and persistent vegetative cases observed in 14(29.16%), 9(18.75%) cases. Glasgow Outcome Scale at 3 months follow up of my study patients, it was observed that total died patients 16 (26.66%). Conclusion: According to my study, majority of the study patients survived following EVD in spontaneous ICH with ventricular extension but most cases was unfavorable outcome which was statistically

scholarly journals Clinical Profiles of Spontaneous Intracerebral Haemorrhage Patients: Experience of 100 Cases in Dhaka City

2018 ◽  
Vol 5 (2) ◽  
pp. 64-67
Author(s):  
Md Mamnur Rashid ◽  
Md Ariful Islam ◽  
Golam Sagir ◽  
Md Rafiqul Islam ◽  
Muhammad Abdul Momen Khan ◽  
...  
Keyword(s):  
Clinical Features ◽  
Intracerebral Haemorrhage ◽  
Diagnostic Tools ◽  
Clinical Feature ◽  
Focal Neurological Deficit ◽  
Cross Sectional ◽  
Medical College ◽  
Study Population ◽  
Clinical Profiles ◽  
Spontaneous Intracerebral Haemorrhage

Background: Clinical features are the important diagnostic tools for the detection of spontaneous intracerebral haemorrhage patients.Objective: The purpose of the present study was to see the clinical profiles of spontaneous intracerebral haemorrhage patients.Methodology: This cross-sectional study was conducted in the Department of Neurology at Dhaka Medical College and Hospital, Dhaka, Bangladesh from July 2012 to June 2014 for a period of two (2) years. Patients with spontaneous intracerebral haemorrhage who were admitted in the Departments of Neurology, Neurosurgery and Medicine at Dhaka Medical College and Hospital, Dhaka were selected as study population. Both male and female patients with the age group of ≥18 years, first ever spontaneous intracerebral haemorrhage and hospital admission within 48 hours of onset were included for this study. The clinical features of the study population were collected after admission of the patients like headache, hemiplegia or paresis, vomiting, and deterioration of consciousness, dysphasia, dysarthria and hemisensory loss.Result: Headache was observed the most frequent complaint in 81.0% (n=79) patients. Hemiparesis or hemiplegia was the most frequent focal neurological deficit in 69.0% (n=68) patients. Vomiting was common also 58.0% (n=57) patients. Twenty five (26.0%) respondents were presented with deterioration of consciousness. Dysphasia/aphasia was found in 15.0% patients. Convulsion was not a common presenting feature (7%).Conclusion:  In conclusion headache, vomiting and deterioration of consciousness are the most common form of clinical feature of spontaneous intracerebral haemorrhage.Journal of Current and Advance Medical Research 2018;5(2):64-67

scholarly journals Risks of recurrent stroke and all serious vascular events after spontaneous intracerebral haemorrhage: pooled analyses of two population-based studies

2021 ◽  
Vol 20 (6) ◽  
pp. 437-447 ◽  
Author(s):  
Linxin Li ◽  
Michael T C Poon ◽  
Neshika E Samarasekera ◽  
Luke A Perry ◽  
Tom J Moullaali ◽  
...  
Keyword(s):  
Intracerebral Haemorrhage ◽  
Recurrent Stroke ◽  
Population Based ◽  
Vascular Events ◽  
Spontaneous Intracerebral Haemorrhage

scholarly journals Clinical profile of Otomycosis: a hospital based study at central terrain region of Nepal

2016 ◽  
Vol 3 (1) ◽  
pp. 20-24
Author(s):  
N Lageju ◽  
SC Shahi ◽  
NK Goil
Keyword(s):  
Hearing Loss ◽  
High Temperature ◽  
Aspergillus Niger ◽  
Otitis Externa ◽  
Neck Surgery ◽  
Clinical Profile ◽  
Mastoid Cavity ◽  
Medical Sciences ◽  
Presenting Problems ◽  
Medical College

Background and Objectives: Otomycosis is the fungal infection of ear with some complications involving middle ear cavity and mastoid cavity. It is one of commonly encountered problem in otolaryngology clinics. It is commonly present in hot, humid with moisture, high temperature. So, this research is to study the clinical profile of otomycosis in central terrain region of Nepal.Material and Methods: The study was conducted in department of ENT- head and neck surgery in Janaki medical college and teaching hospital from August 2015 to June 2016. All the clinically diagnosed cases were enrolled in the study with typical symptoms and characteristics fungal debris in the external auditory canal (EAC). All the data regarding age, sex, occupation, presenting complaints, type of fugal debris, presence of acute otitis externa, findings of tympanic membrane (TM) taken.Results: Total of 77 patients were enrolled. Among them 27(35.1%) were male and 50(64.9%) were female. The most common presenting complaint is itching followed by earache, ear discharge, hearing loss. Itching was present in 77.9% of the cases followed by earache in 72.7%, aural fullness in 29%, ear discharge in 46.8% and hearing loss in 31.2%. Based on type of fungal debris on otoscopy, blackish was the commonest with frequency of 38 patients (49.4%) followed by whitish debris in 27 patients (35.1%) and yellowish among 12 patients (15.6%).Conclusion: Otomycosis is one of the most common presenting problems in otorhinolaryngology OPD. Females are affected more. Aspergillus niger implicated the most and ear itching is the most common presenting symptom.Janaki Medical College Journal of Medical Sciences (2015) Vol. 3 (1):20-24

scholarly journals Analysis of clinical profile of women presenting with pyrexia in pregnancy

2018 ◽  
Vol 7 (4) ◽  
pp. 1406
Author(s):  
Surabhi Porwal ◽  
Amita Sharma
Keyword(s):  
Clinical Symptoms ◽  
Public Health Problem ◽  
Clinical Profile ◽  
Major Public Health Problem ◽  
Abdominal Wall Defects ◽  
Chi Square ◽  
Medical College ◽  
Central Nervous System Defects ◽  
High Risk Situation ◽  
In Pregnancy

Background: Pyrexia in pregnancy is major public health problem in India. Pyrexia in pregnancy is associated with resorption of the embryo, foetal deaths and potentially lethal malformations such as central nervous system defects, abdominal-wall defects, and cardiovascular malformations. This study was carried out to analyse clinical profile of women presenting with pyrexia during pregnancy.Methods: After approval by institutional ethical committee the prospective case control study was conducted in the department of obstetrics and gynecology, NSCB Medical College, Jabalpur (M.P.) from 1st June 2012 to 31st October 2013. Total 100 antenatal women with pyrexia taken as cases and 50 antenatal women without pyrexia taken as control were included and analyzed in this study. In women fulfilling inclusion criteria detailed history was taken and documented in proforma. Required investigations were sent to the department of pathology and virology laboratory of Indian Council of Medical Research, Jabalpur. Results were analyzed statistically by using t test and chi square test.Results: On analysis of clinical symptoms pyrexia, cough, malaise, rash, headache, nausea and vomiting, joint pain, anorexia, breathlessness and burning and frequency of micturition were significantly higher in cases as compare to control. Viral pathogens were responsible for most of the cases of pyrexia in pregnancy.Conclusions: Pyrexia in pregnancy is a high-risk situation, early identification and prompt treatment will reduce maternal and perinatal morbidity and mortality associated with pyrexia in pregnancy.

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