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Background and purpose: Primary intracerebral hemorrhage is a common neurologic emergency, with high mortality rate, severe sequela and also burdens for families and society. Hematoma expansions after acute primary intracerebral hemorrhage are very important complications that worsen the clinical outcome. Thus, the aim of this research is to predict some factors of the mobidity. Methods: We performed a descriptive, observative study of 32 patients with acute primary intracerebral hemorrhage within 6 hours after onset at The Emergency Department, Bach Mai Hospital from November 2014 to July 2016. The computed tomography (CT) and computed tomography angiography (CTA) were indicated for all patients before 6 hours of onset and repeated CLVT without contrast after 24 hours. Patients were divided into 2 groups with or without hematoma expansions to investigate clinical symptoms and signs, blood tests and neuroimaging in univariable analysis of some predicting factors of hematoma expansion. Results: Research on 32 patients with striCLVT criteria showed that the rate of hematoma expansion occurred in 40.6% and spot signs on CTA was seen in 25% (8/32) of cases. There were 5 factors which might associate to hematoma expansions including time from onset to admission less than 3 hours (55% before 3h vs 16.7% after 3h, p |
