Aim: To determine the demographics and clinical presentation of patients with primary spontaneous intracerebral haemorrhage (PSICH) referred for neurosurgical management. Patients and Methods: Consecutive patients (45) with a Computed Tomography (CT) scan confirmed diagnosis of PSICH over a 6-month were recruited for the study. Results: The patients were 13 (28.89%) females and 32 (71.11%) males. The mean age was 52 ± 11.44 yrs. There were 32 (71.11%) black patients, 8 (17.78%) Whites, 4 (8.89%) Coloured and 1 (2.22%) Indian. Collapse [19 (42.22%)] and weakness [18 (40%)] were the most common symptoms. The Glasgow Coma Score (GCS) of patients was mild (GCS 13 – 15) in 19 (42.22%), severe (GCS 3 – 8) in 16 (35.56%) and moderate (GCS 9 – 12) in 10 (22.22%). The ICH Score of patients was 0 in 11 (24.44%), 1 in 12 (26.67%), 2 in 8 (17.78%), 3 in 6 (13.33%) and 4 in 8 (17.78%). No ICH Score of 5 or 6 were documented. Conclusion: Our study has shown that SICH presents a common clinical problem in our environment with a male preponderance. Our patients are younger than in studies in developed nations. Collapse and decreased GCS were the most common forms of presentation.
