Evaluation of Acute Intracerebral hemorrhage using Computed-Tomography and Magnetic Resonance imaging from Tertiary Care Hospital Peshawar

Abstract

Background: Acute intracerebral hemorrhage (ICH) is a severe form of stroke characterized by bleeding within the brain parenchyma, posing high risks of mortality and disability. Accurate and rapid diagnosis is crucial for effective management. This study aimed to evaluate the detection and diagnostic accuracy of computed tomography (CT) and magnetic resonance imaging (MRI) in acute ICH. Objective: This study aimed to evaluate the detection of acute intracerebral hemorrhage and assess the diagnostic accuracy of computed tomography and magnetic resonance imaging. Methods: A descriptive cross-sectional study was conducted from February 2023 to June 2023 at Rehman Medical Institute and Kuwait Teaching Hospital in Peshawar, Khyber Pakhtunkhwa. The sample size was 110 patients, and data were analyzed using the Statistical Package for the Social Sciences (SPSS). Results: Out of 110 patients, 38 (34.5%) were aged 49-66. All patients (100%) had subarachnoid or other types of hemorrhage confirmed on scans. Hypertension was present in 41 (37.3%) patients, while 69 (62.7%) were not hypertensive. Loss of consciousness was observed in 26 (23.6%) patients, whereas 84 (76.4%) did not experience it. Subdural/epidural hematomas were found in 28 (25.5%) patients, and 82 (74.5%) had no such hematomas. Conclusion: The study concluded that the capabilities of detection and diagnostic accuracy of the computed tomography scan in acute intracerebral hemorrhage are superior to magnetic resonance imaging due to higher sensitivity and faster image acquisition time.