Analysis of clinical and radiological characteristics of intracranial hemorrhage in hematological diseases
10.3760/cma.j.issn.1009-9921.2011.03.009
- VernacularTitle:血液病相关颅内出血的临床和影像学特点分析
- Author:
Liru WANG
;
Bin SHI
;
Shuxia HAN
;
Yongdong LIU
;
Yi ZHENG
;
Yijuan CHEN
;
Jingjing ZHANG
;
Tongguo WANG
- Publication Type:Journal Article
- Keywords:
Intracranial hemorrhage;
Leukemia;
Purpura,Thrombocytopenia;
Hematological disease
- From:
Journal of Leukemia & Lymphoma
2011;20(3):159-161
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze clinical and radiological characteristics of intracranial hemorrhage in hematological diseases to improve the recognition of them. Methods Thirty-one clinical data of intracranial hemorrhage cases with hematological diseases were reviewed. The basic diseases, clinical and radiological manifestations, and risk factors of mortality were analyzed. Results Intracranial hemorrhage usually occurred in patients with acute myeloid leukemia (AML) or idiopathic thrombocytopenic purpura (ITP),and 13 and 6 cases, respectively, in this group. Most patients presented with headache, restlessness, nausea,vomiting, conscious disturbance and no localization sign by physical examination. CT or MRI images often revealed focus of errlysis. Compared with CT scan, a higher detection rate of ICH could be realized by MRI scan. The total mortality in this group of ICH patients was 71% (22/31). Fever, white blood cell ＞5×109/L,platelet ＜50×109/L, hyperimmunoglobulinemia and disturbance of blood coagulation were risk factors for ICH of this group of patients. The mortality was higher in patients with no less than 2 risk factors[86.4 % (19/22)vs 33.3 % (3/9)] (x2 = 8.718, P = 0.003). Conclusion ICH is a serious complication for hematological patients. MRI scan is good at improving the diagnosis of ICH. It is of high risk of death in patients with no less than 2 risk factors such as fever, white blood cell higher than 5×109/L, platelet less than 50×109/L,hyperimmunoglobulinemia and disturbance of blood coagulation.
