Spontaneous Intracerebral Hemorrhage: Computed Tomographic Characteristics and Outcome
<strong>Background:</strong> strokes are the third leading cause of death among adults and 10-15 % of them are due to spontaneous intracerebral hemorrhage. <strong><br />Objective:</strong> to characterize spontaneous intracerebral hemorrhage through computed tomography...
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Universidad de las Ciencias Médicas de Cienfuegos
2015-12-01
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| Online Access: | https://revfinlay.sld.cu/index.php/finlay/article/view/378 |
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| author | Aimara de la Caridad Vergara Santos José Luis Rodríguez Monteagudo Pedro Barrós Fuentes Rubén Sánchez Abdala Osmani Quintero Martínez |
| author_facet | Aimara de la Caridad Vergara Santos José Luis Rodríguez Monteagudo Pedro Barrós Fuentes Rubén Sánchez Abdala Osmani Quintero Martínez |
| author_sort | Aimara de la Caridad Vergara Santos |
| collection | DOAJ |
| description | <strong>Background:</strong> strokes are the third leading cause of death among adults and 10-15 % of them are due to spontaneous intracerebral hemorrhage. <strong><br />Objective:</strong> to characterize spontaneous intracerebral hemorrhage through computed tomography scan and its outcome. <br /><strong>Methods:</strong> a case series study was conducted comprising patients diagnosed with spontaneous intracerebral hemorrhage admitted to the Arnaldo Milián Castro Provincial University Hospital in Villa Clara from January 2009 to January 2010. Tomographic variables of interest were derived from evaluation of spontaneous intracerebral hematomas. <strong><br />Results:</strong> fifty-nine cases of spontaneous intracerebral hemorrhage were studied, 23 were located in lobar regions, 4 had severe midline shift, and 2 showed volume greater than 80 ml. Eight out of eleven with extension into the ventricular system had an unfavorable outcome. Among those with thalamic hemorrhage, patients with diameter larger than 4cm and extension into the ventricular system died. Patients with putaminal hemorrhage larger than 4 cm and posterior fossa hematoma with hydrocephalus had a poor outcome, as well as most individuals (55) with other mass effects. Most lobar hematomas (14 out of 23) had a satisfactory outcome, unlike cerebellar and brainstem hematomas. <strong><br />Conclusions:</strong> tomographic variables that had a negative impact on the outcome were: volume greater than 80 ml, severe midline shift, diameter larger than 4 cm, extension into the ventricular system, hydrocephalus, other signs of mass effect and brainstem location. |
| format | Article |
| id | doaj-art-4ea131f7e3694d9485a65e23d51582bc |
| institution | Kabale University |
| issn | 2221-2434 |
| language | Spanish |
| publishDate | 2015-12-01 |
| publisher | Universidad de las Ciencias Médicas de Cienfuegos |
| record_format | Article |
| series | Revista Finlay |
| spelling | doaj-art-4ea131f7e3694d9485a65e23d51582bc2025-01-30T21:21:57ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342015-12-0154253263237Spontaneous Intracerebral Hemorrhage: Computed Tomographic Characteristics and OutcomeAimara de la Caridad Vergara Santos0José Luis Rodríguez Monteagudo1Pedro Barrós Fuentes2Rubén Sánchez Abdala3Osmani Quintero Martínez4Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital Provincial Universitario Arnaldo Milián Castro. Villa Clara.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Sede Universitaria Municipal Corralillo. Villa Clara.<strong>Background:</strong> strokes are the third leading cause of death among adults and 10-15 % of them are due to spontaneous intracerebral hemorrhage. <strong><br />Objective:</strong> to characterize spontaneous intracerebral hemorrhage through computed tomography scan and its outcome. <br /><strong>Methods:</strong> a case series study was conducted comprising patients diagnosed with spontaneous intracerebral hemorrhage admitted to the Arnaldo Milián Castro Provincial University Hospital in Villa Clara from January 2009 to January 2010. Tomographic variables of interest were derived from evaluation of spontaneous intracerebral hematomas. <strong><br />Results:</strong> fifty-nine cases of spontaneous intracerebral hemorrhage were studied, 23 were located in lobar regions, 4 had severe midline shift, and 2 showed volume greater than 80 ml. Eight out of eleven with extension into the ventricular system had an unfavorable outcome. Among those with thalamic hemorrhage, patients with diameter larger than 4cm and extension into the ventricular system died. Patients with putaminal hemorrhage larger than 4 cm and posterior fossa hematoma with hydrocephalus had a poor outcome, as well as most individuals (55) with other mass effects. Most lobar hematomas (14 out of 23) had a satisfactory outcome, unlike cerebellar and brainstem hematomas. <strong><br />Conclusions:</strong> tomographic variables that had a negative impact on the outcome were: volume greater than 80 ml, severe midline shift, diameter larger than 4 cm, extension into the ventricular system, hydrocephalus, other signs of mass effect and brainstem location.https://revfinlay.sld.cu/index.php/finlay/article/view/378accidente cerebrovascularhemorragia cerebraldiagnóstico clínicotomografíaultrasonografíaestudios de casosadultos |
| spellingShingle | Aimara de la Caridad Vergara Santos José Luis Rodríguez Monteagudo Pedro Barrós Fuentes Rubén Sánchez Abdala Osmani Quintero Martínez Spontaneous Intracerebral Hemorrhage: Computed Tomographic Characteristics and Outcome Revista Finlay accidente cerebrovascular hemorragia cerebral diagnóstico clínico tomografía ultrasonografía estudios de casos adultos |
| title | Spontaneous Intracerebral Hemorrhage: Computed Tomographic Characteristics and Outcome |
| title_full | Spontaneous Intracerebral Hemorrhage: Computed Tomographic Characteristics and Outcome |
| title_fullStr | Spontaneous Intracerebral Hemorrhage: Computed Tomographic Characteristics and Outcome |
| title_full_unstemmed | Spontaneous Intracerebral Hemorrhage: Computed Tomographic Characteristics and Outcome |
| title_short | Spontaneous Intracerebral Hemorrhage: Computed Tomographic Characteristics and Outcome |
| title_sort | spontaneous intracerebral hemorrhage computed tomographic characteristics and outcome |
| topic | accidente cerebrovascular hemorragia cerebral diagnóstico clínico tomografía ultrasonografía estudios de casos adultos |
| url | https://revfinlay.sld.cu/index.php/finlay/article/view/378 |
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