Background: Hypertension has been regarded as the most prevalent and powerful of the risk factors for intracranial hemorrhage (ICH). Of the several risk factors of ICH, the prevention and treatment of hypertension especially challenging. Hence present study is undertaken to study natural history of ICH with hypertension. Material and Methods: Present study was hospital based observational prospective study, conducted in patients > 15 years of age, admitted in view of intracranial hemorrhage, Known hypertensives, proved by neuroimaging. Results: Hypertensive intracranial hemorrhage was most common in males, constituting 75.4% of the cases. The age range of the cases varied from 30 to 80 years of age. Maximum number of cases was in the age group between 60-70 years. Most frequent presenting symptom was altered consciousness (71.9%) followed by weakness of limb/limbs (56.1%). Out of 57 cases, 63.2% cases was on regular treatment of hypertension and 19.3% cases were newly diagnosed hypertensive, Smoking was present among 42.1% of cases. 31.6% of the cases had a history of alcohol consumption. 57.9% of the cases had history of tobacco chewing. Out of 57 cases, basal ganglial bleed constituted majority 25 patients (43.9%) followed by thalamic bleed 15 cases (26.3%), lobar bleed 10 cases (17.5%),brain stem 4 patients (7%), fourth ventricle 3 cases (5.3) and cerebellum 2 cases (3.5%). There was statistically very highly significant (p=0.001) mean difference of higher SBP, higher DBP, higher MAP, lower HB, higher BSL & higher volume of IC bleed in expired HTN ICH patients than those survived. Conclusion: Increase in systolic BP, diastolic BP & MAP on admission has statistically significant correlation with mortality.

: hypertensive intracranial hemorrhage, hypertensive retinopathy, basal ganglia, systolic BP, diastolic BP