What question did this study set out to answer?

To evaluate the brain CT patterns and clinical presentations of patients with hypertensive hemorrhagic stroke.

February 25, 2026Open Access

Brain Computed Tomographic Pattern and Clinical Presentation of Patients with Hypertensive Haemorrhagic Stroke at Aminu Kano Teaching Hospital, Kano, Nigeria

UJUmar JiboUnited General Hospital MSMohammed Kabir Saleh ATAbdulkadir Musa TabariKaduna State University

Key Points

To evaluate the brain CT patterns and clinical presentations of patients with hypertensive hemorrhagic stroke.
Conducted a prospective study from March to August 2018
Enrolled 100 patients diagnosed with hemorrhagic stroke
Acquired CT images using a 160 slice CT machine
Recorded patient information and CT findings on data sheets.
Headache was reported in 72% of patients
Dysphasia occurred in 58% of patients
Vomiting and convulsions affected 42% and 28% respectively
Most common hematoma location was putamen at 54%
Thalamus affected 14%, while parietal, pons, and frontal lobes were each affected at 4%

Abstract

Background: Stroke or cerebrovascular disease is a clinical syndrome consisting of rapidly developing clinical signs of focal or global neurological deficits lasting more than 24 h or leading to death with no apparent cause other than a vascular origin. Study Aims: This study was aimed at evaluating pattern and clinical presentation of hemorrhagic stroke on brain Computed Tomography (CT) scan in Aminu Kano Teaching Hospital, Kano, Nigeria. Materials and Methods: This was a prospective study carried out between March 2018 and August 2018 on brain computed tomographic findings of 100 patients diagnosed with hemorrhagic stroke. Ethical approval to conduct the study was obtained from the Human Research and Ethics Committee of the Aminu Kano Teaching Hospital. Images were acquired using Prime Aquilion Toshiba Japan 2012 160 slice CT machine in the Department of Radiology. The patients’ information and CT findings were recorded on the data capture sheet. Results: Headache was the most common clinical presentation seen in 72% of the patients, followed by dysphasia seen in 58%, followed by vomiting seen in 42%, and the least was convulsion seen in 28% of the patients. The most common site of hematoma was putamen with 54%, followed by thalamus 14%, and the least regions affected were parietal lobe, pons, and frontal lobes with 4% each. Conclusion: Headache was the most common clinical presentation of the patients with hemorrhagic stroke and the most common site of the hematoma was putamen.

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