Aims and objectives
Intracerebral hemorrhage (ICH) is an urgent neurological and neurosurgical condition with potentially high mortality.
The most common causes of ICH are hypertension,
arteriovenous malformation,
head trauma,
tumors and aneurysms [1].
The initial volume of the hematoma correlates with clinical outcome and is used as a guide for acute treatment and prognosis [2].
Thirty-day mortality is 44%,
with half of the deaths occuring in the acute phase,
especially during the first 48 hours [3].
There is no proven effective treatment as well as the ability to...
Methods and materials
Patients
Our study represents a retrospective analysis of 205 patients (62.21% male and 37.79% female patients with an average 68.40±10.70 years of age) with clinical signs of ICHwho underwent CT scan of endocranium on Multislice Computed Tomography (MSCT) at the Center of Radiology,
Clinical Center Nis.
Clinical and laboratory parameters were obtained by reviewing the medical histories of the patients.Patients with incorrect examination due to technical reasons,
which included non-cooperation of the patient or insufficient concentration of the contrast agent in the arteries were excluded...
Results
The most common cause of ICH was elevated blood pressure in 84.88% of all cases (Table 1).
In addition to ICH,
in76 patients intraventricular hemorrhage was also recorded (37.07%).CT angiography showed intracranial aneurysms
in 13.17% patients.
In patients with ICH caused by the arterial hypertension and trauma,
CT angiography was normal,
without the signs of intracranial aneurysms or arteriovenous malformations.
Mean value and standard deviation obtained by the ABC/2 method were 42.87 ± 36.75 cm3,
while mean value and standard deviation obtained by computer semiautomatic...
Conclusion
Both methods are very useful in determining ICH volume.
The ABC/2 method is better for measuring regular ICH shapes and fast orientation,
while we consider the semiautomatic computer method more accurate and more selective.
Personal information
Thank you for viewing our exhibit.
We hope you liked it.
For any questions,
feel free to mail:
Sonja Jankovic,
MD
Radiology resident,
PhD student
[email protected]
Department of Radiology,
Clinical center Nis
Faculty of Medicine,
University of Nis
Republic of Serbia
Dragana Ilic,
MD,
PhD
radiologist
[email protected]
Department of Radiology,
Clinical Center Nis,
Republic of Serbia
Prof.
dr Dragan Stojanov,
MD,
PhD
radiologist / neuroradiologist
Department of Radiology,
Clinical Center Nis
Faculty of Medicine,
University of Nis
Republic of Serbia
Prof.
dr Zoran Radovanovic,
MD,...
References
[1] Linn J,
Bruckmann H.
Differential diagnosis ofnontraumatic intracerebral hemorrhage.
Klin Neuroradiol 2009;19:45–61.
[2] Hussein HM,
Tariq NA,
Palesch YY,
Qureshi AI.
Reliability of hematoma volume measurement at local sites in a multicenter acute intracerebral hemorrhage clinical trial.
Stroke 2013; 44:237-9.
[3] Broderick J,
Brott T,
Tomsick T,
Huster G,
Miller R.
The risk of subarachnoid and intracerebral hemorrhages in blacks as compared with whites.
N Engl J Med 1992; 326:733-6.
[4]Broderick,
JP,
Brott TG,
Duldner JE,
Tomsick T,
Huster G.
Volume of intracerebral hemorrhage:...