Indian Journal of Public Health Research & Development
Year : 2018, Volume : 9, Issue : 12
First page : ( 749) Last page : ( 753)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2018.01933.2

Association between Serum Calcium level and the size of Hematoma in Intracerebral Hemorrhage

Hameed Rafd Hadi*

Ministry of Public Health, Maysan Health Department Maysan governorate, Iraq

*Corresponding author: Rafd Hadi Hameed, Ministry of Public Health, Maysan Health Department, Maysan governorate, Iraq, Email: rafidhadii@gmail.com

Online published on 2 February, 2019.

Abstract

Calcium (Ca), which is an essential factor for human life, could play a role in pathophysiology of spontaneous intracerebral hemorrhage (ICH). Aim of study: to evaluate the relation between serum ca level and size of hematoma in ICH. Patients and Methods: This study was conducted at intensive care units (ICU). We included ninety patients with spontaneous ICH. All patients were subjected to thorough history taking, general and neurological examination. National Institute of Health Stroke Scale (NIHSS) was done on admission to assess stroke severity. Initial Computed Tomography (CT) scans were done for all patients within the frst 24 hours of admission to calculate the hematoma volume. Serum Ca level was measured on admission for all patients. Among the 180 cases of ICH, (14.4%) had low serum Ca on admission. Patients with low serum calcium level had a signifcantly larger initial hematoma volume and higher scores on NIHSS in comparison to ICH patients with normal Ca level. Serum Ca was inversely correlated with hematoma volume (p<0.001), stroke severity (P<0.001) and stroke outcome according to modifed Rankin scale. low serum Ca level on admission was associated with large initial hematoma volume.

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Keywords

Intracerebral hemorrhage, ICH, serum ca level, hematoma.

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