The analysis of initial cranial CT of early hematoma enlargement in spontaneous intracerebral hemorrhage

• Main Authors: Yu⁃zhang BEI, Ben⁃yang CHEN, Hao⁃bo QI, Zheng⁃ping ZHOU, Yu⁃bo LI
• Format: Article
• Language: English
• Published: Tianjin Huanhu Hospital 2012-06-01
• Series: Chinese Journal of Contemporary Neurology and Neurosurgery
• Subjects: Cerebral hemorrhage; Tomography, X⁃ray computed
• Online Access: http://www.cjcnn.org/index.php/cjcnn/article/view/350
• ISSN: 1672-6731

Objective To investigate the predictive effect of initial cranial CT on early hematoma enlargement in spontaneous intracerebral hemorrhage. Methods Three hundred patients with spontaneous intracerebral hemorrhage within 6 hours after onset were studied. Chi⁃square test and logistic regression analysis were used to detect the related factors which may indicate hematoma enlargement. Results Sixty⁃ one (20.33% ) patients presented hematoma enlargement on cranial CT. Single factor and multivariate regression analysis showed that the following factors were associated with early hematoma enlargement: early onset, uneven density hematoma, moderate and severe brain atrophy and hematoma located at the basal ganglia. Conclusion Early onset uneven density hematoma, moderate and severe brain atrophy, and hematoma at basal ganglia are the factors which may indicate early hematoma enlargement in patiens with spontaneous intracerebral hemorrhage. DOI：10.3969/j.issn.1672⁃6731.2012.03.022