Jie Chen; Dan Chen; Xiaoyi Wang; Yalin Zhang; Zhongwei QU

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"The value of CTA ""spot sign"" in prediction of hematoma ecpansion in acute intrcerebral hemorrhage"

VernacularTitle:CTA点征在预测脑出血血肿扩大的价值
Author: Jie CHEN ; Dan CHEN ; Xiaoyi WANG ; Yalin ZHANG ; Zhongwei QU
Publication Type:Journal Article
Keywords: Angiography; Cerebral hemorrhage/RA; Hematoma/RA
From: Journal of Chinese Physician 2016;18(8):1130-1133
CountryChina
Language:Chinese
Abstract: Objective To investigate the predictive value of skull CT angiography (CTA) original image spot in acute stage (3 ～6 h) of hypertensive intracerebral hemorrhage (HICH) hematoma enlargement.Methods A total of 45 cases of HICH patients was analyzed retrospectively,who accepted emergency head CT scan and CTA synchronization within 6 h occurrence.According to the CTA without original image spot,those cases were divided into two groups including patient's clinical symptoms worsen instant or regular 24 h after onset review head CT scan.According to the field the formula,the hematoma volume was calculated.The incidence rate of hematoma expansion was compared between two groups.Results (1) Of 45 cases,emergency skull CTA original image spot positive sign was 11 cases (24.4％),spot sign negative 34 cases (75.6％).The patient's age,gender,admission glasgow coma scale (GCS) score and head CT hematoma volume for the first time had no statistical difference between two groups (P ＞ 0.05).(2) There were 13 patients (28.9％) who occurred the hematoma enlargement,10 cases (10/11,90.9％) with the spot sign positive,and 3 case (3/34,8.8％) with spot sign negative.The hematoma expansion rate had statistical difference between two groups (P ＜ 0.01).Conclusions Cranial CTA original image spot can provides objective for patients with acute phase of HICH hematoma expansion imaging indicator,which helps to select hematoma in patients at high risk of easy to expand.Thus makes the treatment of patients with the class a more timely and accurate.