• Dinuj Shrestha, Upama Sharma, Janam Shrestha, Gopi Nepal, Bishal Shrestha, Pranaya Shrestha, Samir Acharya, Pritam Gurung, Resha Shrestha, Sudan Dhakal, Pravesh Rajbhandhari, and Basant Pant.
• Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu, Nepal.
• JNMA J Nepal Med Assoc. 2022 Aug 1; 60 (252): 697701697-701.

IntroductionSpontaneous intracerebral haemorrhage is the second most common form of stroke and the most deadly one. An understanding of changing trends in the epidemiology of intracerebral haemorrhage prevalence, its risk factors, current practice in management, case fatality, and long-term outcome is essential to measure the effectiveness of stroke prevention and various treatment efforts. The objective of this study was to find out the prevalence of surgical management among patients with spontaneous supratentorial intracerebral haemorrhage in a tertiary centre.MethodsA descriptive cross-sectional study was conducted in the Department of Neurosurgery from January 2017 to December 2019. Ethical approval was obtained from the Institutional Review Committee (Reference number: 06/2020/IRC-ANIAS). A convenience sampling method was used. Data of the patients were retrieved from online medical records. Point estimate and 95% Confidence Interval were calculated.ResultsAmong 221 patients with spontaneous supratentorial intracerebral haemorrhage, 115 (52.04%) (45.45-58.63, 95% Confidence Interval) underwent surgical management. In-hospital mortality was seen in 23 (20%) and survivors at 3 months were 78 (67.82%) patients.ConclusionsThe prevalence of surgical management among spontaneous supratentorial intracerebral haemorrhages was higher than in other studies done in a similar setting.Keywordsintracerebral haemorrhage; mortality; surgical procedure.

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