Frequency and Predicting Factors on Chronic Expanding Intracerebral Hematoma in Spontaneous Intracerebral Hemorrhage

Autor: Kaoru Kurisu, Kiyoshi Yuki, Takeshi Hara, Kiyoharu Shimizu, Hideo Ohba, Takashi Sadatomo
Rok vydání: 2017
Předmět:
Male
Putaminal Hemorrhage
medicine.medical_specialty
Time Factors
Computed Tomography Angiography
03 medical and health sciences
0302 clinical medicine
Predictive Value of Tests
Risk Factors
Odds Ratio
Humans
Medicine
cardiovascular diseases
Spontaneous intracerebral hemorrhage
Aged
Retrospective Studies
Aged
80 and over
Intracerebral hemorrhage
Hematoma
Chi-Square Distribution
business.industry
Rehabilitation
Glasgow Coma Scale
Odds ratio
Middle Aged
medicine.disease
Magnetic Resonance Imaging
Predictive value
Surgery
Intracerebral hematoma
body regions
Logistic Models
surgical procedures
operative
Intraventricular hemorrhage
030220 oncology & carcinogenesis
Chronic Disease
Multivariate Analysis
Female
Neurology (clinical)
Tomography
X-Ray Computed
Cardiology and Cardiovascular Medicine
business
Complication
030217 neurology & neurosurgery
Zdroj: Journal of Stroke and Cerebrovascular Diseases. 26:1541-1546
ISSN: 1052-3057
DOI: 10.1016/j.jstrokecerebrovasdis.2017.02.035
Popis: Background Chronic expanding intracerebral hematoma is a well-known complication of spontaneous intracerebral hemorrhage. However, because chronic expanding intracerebral hematoma is relatively rare, it has not been studied systemically. The purpose of this study was to characterize a patient population with chronic expanding intracerebral hematoma, and to identify the predictive factors for it. Methods We retrospectively evaluated 112 patients with spontaneous putaminal hemorrhage who were treated at our institution between January 1, 2010 and December 31, 2015. Data on age, sex, Glasgow Coma Scale score, presence of intraventricular hemorrhage, and intracerebral hemorrhage volume were collected, and their predictive values for chronic expanding intracerebral hematoma were investigated. We also evaluated the predictive value of a characteristic radiological finding at onset called the "layer sign," which was represented as a fluid level adjacent to the clot. Results Chronic expanding intracerebral hematoma was observed in 4 patients (4.9%) with spontaneous intracerebral hemorrhage. Only the layer sign was significantly related to chronic expanding intracerebral hematoma ( P = .003), and was found to be independently associated with chronic expanding intracerebral hematoma in a multivariate analysis (odds ratio, 18.6; 95% confidence interval, 1.19-291.0; P = .037). Conclusions The frequency of chronic expanding intracerebral hematoma in those with spontaneous intracerebral hemorrhage was estimated at 4.9%. The layer sign was a useful factor for predicting chronic expanding intracerebral hematoma.
Databáze: OpenAIRE
Externí odkaz: