Intracerebral hemorrhage (ICH) is a stroke subtype associated with significant morbidity and mortality. More than half of patients with ICH have residual motor deficits at 6-month follow-up.

A retrospective and comparative study including 253 patients diagnosed with ICH was conducted in the department of neurology of the Military Hospital of Tunis from 2015 to 2020. The predictors of motor impairment were performed in all patients with ICH.

We reported 253 patients with spontaneous ICH. The mean age of the patients at the time of onset was 58 years. The mean NIHSS score was 10 and modified rankin scale (mRS) was 2. The factors responsible for motor outcome were: NIHSS score> = 7, Glasgow coma scale <9, hyperglycemia (P = 0.001), renal failure, elevation of CRP (P <0.001) deep site (P = 0.014), a volume> 30 cm² (<0.001), ventricular flooding (P <0.001), as well as  cerebral engagement. Troponin elevation and leukocytosis were associated only with poor clinical outcome. For the etiologies, Amyloid angiopathy was correlated with good motor development unlike hypertension and vascular malformations such as cavernomas and anevrysms which often have a poor prognosis.

A good knowledge of the factors of motor impairment allows to reduce the handicap in the ICH.