DOI: https://doi.org/10.14710/dmj.v13i6.45097

Characteristics of Intracerebral Hemorrhage at Dr. Kariadi General Hospital: A Serial Case

Nadhira Faizah Putri Priambodo  -  Department of Medicine, Faculty of Medicine, Universitas Diponegoro Semarang Indonesia, Indonesia
Kayana Zahra Kallista Rambey  -  Department of Medicine, Faculty of Medicine, Universitas Diponegoro Semarang Indonesia, Indonesia
Amira Cinta Maharani  -  Department of Medicine, Faculty of Medicine, Universitas Diponegoro Semarang Indonesia, Indonesia
Diah Satyaningrum  -  Department of Medicine, Faculty of Medicine, Universitas Diponegoro Semarang Indonesia, Indonesia
Nuzulur Rakhmah Nurulyana  -  Department of Medicine, Faculty of Medicine, Universitas Diponegoro Semarang Indonesia, Indonesia
Gibran Chandra Syarif Hidayatullah  -  Department of Medicine, Faculty of Medicine, Universitas Diponegoro Semarang Indonesia, Indonesia
Maria Belladonna Rahmawati Sugianto  -  Departement of Neurology, Faculty of Medicine, Universitas Diponegoro Semarang Indonesia, Indonesia
*Santoso Jaeri orcid scopus publons  -  Department of Medical Biology and Biochemistry, Faculty of Medicine Universitas Diponegoro, Semarang, Indonesia

Citation Format:
Abstract

Background: Stroke is an acute neurological deficit caused by sudden or rapid disruption of blood circulation to the brain. Intracerebral hemorrhage is the subtype of stroke with the highest mortality and disability rate. Several risk factors may be related to the clinical outcome of intracerebral hemorrhage. Herewith we present a case series regarding the characteristics of intracerebral hemorrhage. Methods: A case series among three intracerebral hemorrhage cases in January - February 2024 at Dr. Kariadi Hospital. Epidemiological, and clinical data were recorded and reported. Case Presentations: Three cases were studied, the main complaint of the patient was decreased consciousness. These patients had different risk factors for stroke. According to the Siriraj score, NIHSS score, and neuroimaging findings, these patients had hemorrhagic strokes with different brain lesions. Two-thirds of the patients had uncontrolled hypertension and one patient was accompanied by uncontrolled diabetes mellitus. Conclusion: Overall, all patients were >45 years old and the risk factors of these patients were modified risk factors that is uncontrolled hypertension and diabetes mellitus over a long period resulting in ganglionic hemorrhage.

Fulltext View|Download
Keywords: Stroke; Intracerebral Hemorrhage; Hypertension

Article Metrics:

Article Info
Section: Case Report
Language : EN
Recent articles
Effectiveness of Adding Strengthening Lower Extremity Exercise on Gait Speed of Hajj Pilgrims Who Receive Walking Aerobic Exercises The Correlation between Sleep Quality and Acne vulgaris Incidence in Medical Students of Universitas Tarumanagara The Association Between Hypertension and Stroke in PKU Muhammadiyah Gamping Hospital Characteristics of Intracerebral Hemorrhage at Dr. Kariadi General Hospital: A Serial Case Multiple Decubitus Ulcers in Dm type II Patients with Autologous Plasma-Rich Platelet therapy : A Case Report A 31-Year-Old Female with Inferior Paraparesis Upper Motor Neuron Type due to Destruction of Thoracic 6-7 Vertebrae due to Tuberculous Spondylitis : A Case Report More recent articles
  1. Tadi P, Lui F. Acute Stroke. [Updated 2023 Aug 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK535369/
  2. Sacco RL, Kasner SE, Broderick JP, Caplan LR, Connors JJ, Culebras A, et al. An updated definition of stroke for the 21st century: A statement for healthcare professionals from the American heart association/American stroke association. Stroke. 2013;44(7):2064–89
  3. Puspitasari PN. The Relationship between Hypertension and Stroke. J Ilm Health Sandi Husada. 2020;12(2):922–6
  4. Hanifah D. The Influence of Bleeding Volume and Glasgow Coma Scale (Gcs) Score on Hospital Admission on Mortality in Intracerebral Hemorrhage Stroke Patients at Dr. Soedarso Hospital, Pontianak. J Mhs Fak Kedokt Untan. 2015;3(1):189162
  5. WHO. WHO EMRO | Stroke, Cerebrovascular accident | Health topics [Internet]. Who. 2021 [cited 2024 Apr 8]. p. 1. Available from: https://www.emro.who.int/health-topics/stroke-cerebrovascular-accident/index.html
  6. Johnson W, Onuma O, Owolabi M, Sachdev S. Stroke: A global response is needed. Bull World Health Organ. 2016;94(9):634A-635A
  7. Ziai WC, Carhuapoma JR. Intracerebral Hemorrhage. Continuum (Minneap Minn) [Internet]. 2018 Dec 1 [cited 2024 Apr 8];24(6):1603–22. Available from: https://pubmed.ncbi.nlm.nih.gov/30516598/
  8. An SJ, Kim TJ, Yoon BW. Epidemiology, Risk Factors, and Clinical Features of Intracerebral Hemorrhage: An Update. J stroke [Internet]. 2017 Jan 1 [cited 2024 Mar 24];19(1):3–10. Available from: https://pubmed.ncbi.nlm.nih.gov/28178408/
  9. Wang S, Zou XL, Wu LX, Zhou HF, Xiao L, Yao T, et al. Epidemiology of intracerebral hemorrhage: A systematic review and meta-analysis. Front Neurol. 2022;13
  10. Watson N, Bonsack F, Sukumari-Ramesh S. Intracerebral Hemorrhage: The Effects of Aging on Brain Injury. Front Aging Neurosci. 2022;14(April):1–10
  11. An SJ, Kim TJ, Yoon BW. Epidemiology, risk factors, and clinical features of intracerebral hemorrhage: An update. J Stroke. 2017;19(1):3–10
  12. Sethi R, Hiremath JS, Ganesh V, Banerjee S, Shah M, Mehta A, Nikam P, Jaiswal M, Shah N. Correlation between Stroke Risk and Systolic Blood Pressure in Patients over 50 Years with Uncontrolled Hypertension: Results from the SYSTUP-India Study. Cardiovasc Ther. 2021 Jun 28;2021:6622651. doi: 10.1155/2021/6622651.PMID:34257706;PMCID:PMC8261178
  13. Gustian AU, Safirza S, Mursyida M. The Relationship between Current Blood Sugar Levels and Stroke Incidents at Meuraxa Hospital, Banda Aceh in 2023. Indonesian Public Health Media. 2023;22(4):266–70
  14. Tawhid MH, Habib K. Association between Hemorrhagic Stroke and Diabetes Mellitus; A Hospital-Based Case-Control Study. J Res Appl Sci Biotechnol. 2023;2(6):37–42
  15. Ovenden CD, Hewitt J, Kovoor J, Gupta A, Edwards S, Abou-Hamden A, Kleinig T. Time to hospital presentation following intracerebral haemorrhage: Proportion of patients presenting within eight hours and factors associated with delayed presentation. J Stroke Cerebrovasc Dis. 2022 Nov;31(11):106758
  16. Widiastuti P, Nuartha AABN. Diagnostic Scoring System for Stroke: Siriraj Score. Cdk-233 [Internet]. 2015;42(10):776–8
  17. Farooq S, Shkirkova K, Villablanca P, Sanossian N, Liebeskind DS, Starkman S, et al. National Institutes of Health Stroke Scale Correlates Well with Initial Intracerebral Hemorrhage Volume. J Stroke Cerebrovasc Dis. 2022 Apr 1;31(4):106348
  18. Panchal HN, Shah MS, Shah DS. Intracerebral Hemorrhage Score and Volume as an Independent Predictor of Mortality in Primary Intracerebral Hemorrhage Patients. Indian J Surg. 2015;77(December):302–4
  19. Hanley DF. Intraventricular hemorrhage: severity factor and treatment target in spontaneous intracerebral hemorrhage. Stroke. 2009 Apr;40(4):1533-8. doi: 10.1161/STROKEAHA.108.535419.Epub2009Feb26.PMID:19246695;PMCID:PMC2744212
  20. Lily Annisa LA. Management of Hemorrhagic Stroke Therapy in Patients with Hypertension: A Case Report. Unram Med J. 2022;11(3):976–9
  21. Sharma A. Intracerebral hemorrhage in 57 years old male- A case report. J Case Reports Sci Images. 2019;1(2):03–4
  22. Unnithan AKA, M Das J, Mehta P. Hemorrhagic Stroke. [Updated 2023 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559173/
  23. Selim M. Unmet needs and challenges in clinical research of intracerebral hemorrhage. Stroke. 2018;49(5):1299–307

Last update:

No citation recorded.

Last update:

No citation recorded.