Early Predictors of Hematoma Expansion in Patients with Spontaneous Intracerebral Hemorrhage

Mohamed, Mohie-eldin; Sarhan, Ahmed; Amin, Mohammad; Abd-alhalim, Abd-alrahman

doi:10.58675/2682-339X.2781

	Early Predictors of Hematoma Expansion in Patients with Spontaneous Intracerebral Hemorrhage
Al-Azhar International Medical Journal
Volume 2024, Issue 12, December 2024
DOI: 10.58675/2682-339X.2781
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Authors
Mohie-eldin Mohamed¹; Ahmed Sarhan¹; Mohammad Amin²; Abd-alrahman Abd-alhalim¹
¹Neurology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
²Diagnostic and Interventional Radiology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
Abstract
Background: Any bleeding that occurs within the intracranial vault, encompassing the meningeal spaces and brain parenchyma, is referred to as intracranial hemorrhage. Following a spontaneous intracerebral hemorrhage (S-ICH), HE is one of the main factors that contribute to early neurological deterioration, a poor functional result, and an elevated mortality rate. Aim and objectives: To investigate the role of radiological and clinical biomarkers in individuals experiencing spontaneous intracerebral hemorrhage as early indicators of hematoma expansion (HE). Patients and methods: In order to confirm the diagnosis of intracerebral hemorrhage, neuroimaging was performed on 150 patients as part of this case-control investigation. Between May 2023 and April 2024, patients were admitted to the El-Hussien and Bab-Elshaeria Hospitals' stroke unit and neurology department. Results: When it came to time baseline CT, there was no discernible difference between the patients in either group. The CT signs of the island, black hole, blend, irregular outline, heterogenous density, hypodensity, swirl, and intraventricular expansion showed statistically significant differences between the two groups. The edema sign did not, however, differ statistically between the two groups. Conclusion: After a spontaneous intracerebral hemorrhage, poor GCS, high systolic blood pressure, uncontrolled hypertension, and an ICH score are clinical indicators of hematoma expansion. The island sign, black hole sign, blend sign, irregular outline sign, heterogenous density sign, hypodensity sign, swirl sign, and big hematoma volume are radiological predictors of hematoma enlargement following spontaneous intracerebral bleeding.


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