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Article
The Potential Effect of Lipid Profile on Deep Seated Versus Lobar Intracerebral Hemorrhage

Author: Saif M. Tawfeeq*, Hasan Azeez Al-Hamadani**, Munther Taher Hamzah***
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2017 Volume: 16 Issue: 1 Pages: 57-63
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: Brain hemorrhage is defined as the extravasation of blood from the vascular bed into the intracranial space, resulting in clinical dysfunction of nervous system. Intracerebral hemorrhage is a heterogeneous disease with deep and lobar subtypes. The amount of serum lipid may also affect the integrity of blood vessel wall and abnormal lipid profile may consider as a risk factor for intracerebral hemorrhage.OBJECTIVE: The present study was designed to evaluate the relationship between serum lipids and the site of intracerebral hemorrhage.METHOD: A cross-sectional study for 100 patients (50 with deep seated, 50 with lobar intracerebral hemorrhage) from Al-Kadhymia teaching hospital and Bagdad Teaching Hospital between August 2012 and June 2014. Case subjects included those patients from 20 to 89 years of age experiencing ICH within first 48 hours of presentation. Total cholesterol (TC), High-density lipoprotein (HDL) cholesterol, Low-density lipoprotein (LDL) cholesterol and Triglycerides (TG) serum level, was compared in deep seated and lobar intracerebral hemorrhage.RESULTS: There was significant relationship between high HDL level in deep seated compared to lobar hemorrhage, while there was no statistical significant relationship between the site of hemorrhage by TC, LDL and TG levelCONCLUSION: High HDL level is a risk factor for deep seated rather for lobar intracerebral hemorrhage.TC, TG, LDL have no effect on the site of hemorrhage.


Article
Seasonal Variation in Spontaneous Intracerebral Hemorrhage in Iraq

Author: BBaasshheeeerr HH.. SSaallmmaann* , Hasan A. Al-Hamadani**, AtheerJ. Abdulameer
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2017 Volume: 16 Issue: 4 Pages: 412-418
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: Spontaneous intracerebral hemorrhage is the deadliest and most disabling type of stroke. Spontaneous ICH is defined as intraparenchymal bleeding in the absence of trauma or surgery. Seasonal effect on incidence of intracerebral hemorrhage had Longley been studied with unrewarding, and conflicting results.OBJECTIVE:To determine whether different seasons of the year had a relationship with the rate of primary intracerebral hemorrhage,and some of the factors that may contribute for this relationshipPATIENTS AND METHODS:A total of 315 patients diagnosed as a case of primary intracerebral hemorrhage attending AL-Imamain Medical City were taken between December 2009 and December 2011. Females were 112(35.6%) and males were 203(64.4%) aged between 18 and 93 years old with mean age group of 59.298±13.7616. The diagnosis was based on history, clinical examination and non-contrast Computed Tomography scan of brain.RESULTS:Of the 315 patients, the highest rate of cases during December being 13.7% and the lowest during February and October being 4.1% and 4.8% respectively. Intracerebral hemorrhage rate among age group less than 55 years old being 42(34.71%) of 121 patients during summer. There was a significant relationship between winter season and intracerebral hemorrhage incidence among diabetic patients being 29(34.52%) of total 84 diabetic patients. 74(93.67%) of 79 patients presented during winter season had a large sized hemorrhage.CONCLUSION: The highest rate of intracerebral hemorrhage during December There was a seasonal variation in patient’s age, incidence among diabetic patients and size of hemorrhage.

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