Role of computed tomography imaging in assessing the prognosis of spontaneous intracranial hemorrhage

Introduction: Spontaneous intracranial hemmorrhage is a diagnostic dilemna in view of its sudden onset and requires CT evaluation to ensure that it is treated appropriartely as a emargency to ensure better outcomes. Objective: The objective of the study is to evaluate the role of computed tomography (CT) scan in spontaneous intracerebral hemorrhage (SICH) by Comparing Modified Intracerebral Hemorrhage Grading Scale (MICH-GS) Score with clinical outcome. Method: This prospective study included patients who underwent cerebral CT for the evaluation of SICH from January 2020 to May 2022. The scans were evaluated for CT findings in assessing the prognosis of patients with SICH. Results: Sixty patients with SICH between the age group 18 and 60 years were evaluated. Lobar hemorrhage (46.7%) was the most common site followed by basal ganglia (30%) and thalamus (11%). Patients with hematoma volume > 60 mL had a high mortality rate of 75%. The degree of intraventricular (IV) was proportional to mortality. Midline shift did not correlate with mortality in the study. Mortality rates were low with MICH-GS score < 5 and no mortality occurred with a score < 4. Conclusion: CT is accurate in the determination of location, size, IV extension, and volume of hematoma for assessing prognosis in patients with SICH. MICH-GS scoring system is of utmost importance in predicting the functional outcome and mortality in a patient with SICH.