Correlation of Volume and Intracerebral Site with Hemorrhagic Stroke Mortality Based on CT Scan

https://doi.org/10.22146/ahj.v1i1.33621

Andi Rizal(1), Arif Faisal(2*), Sri Retna Dwidanarti(3)

(1) Department of Radiology, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta
(2) 1. Department of Radiology, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta 2. Universitas Gadjah Mada Academic Hospital, Yogyakarta
(3) 
(*) Corresponding Author

Abstract


Background: Intracerebral hemorrhage is a bleeding in the brain’s parenchyma that can extend into the ventricles, and in rare cases into the subarachnoid area. The effects of hemorrhage volume are from mild to severe clinical symptoms due to the increased intracranial pressure. Head CT scan is used to rule out other causes than stroke.

Objective: This study aimed to determine the correlation of intracerebral hemorrhage volume and hemorrhage site with mortality of hemorrhagic stroke patients based on head CT scan tests.

Design: This research used analytic observational methods to conduct a positive correlation assessment of volume and hemorrhage site with mortality in intracerebral hemorrhagic stroke patients. The study used a cross-sectional design with retrospective data. Data were assessed from 55 cases consisting of 29 men and 26 women.

Results: The commonest hemorrhage was found in 24 cases (43.6%) in ganglia basalis, 15 cases (27.3%) in lobus parietalis and 8 cases (14.5%) in pons. Blood volume decreased to 25 cc in 35 cases (63.6%), 25-50 cc in 13 cases (23.6%), and decreased to more than 50 cc in 7 cases (12.7%). Correlations of contingency coefficient tests between mortality and hemorrhage site in lobar were (r=0.049, p=0.714), in deep artery territories (r=0.170, p=0.200) and in brain stem (r=0.298, p=0.020). Meanwhile, correlations between mortality and decreased blood volume to 25 cc were (r=0.589, p=0.000), in 25-50 cc (r=0.406, p=0.001) and for blood volume more than 50 cc (r=0.437, p=0.000).

Conclusions: There was positive correlation between mortality and hemorrhage site in brain stem while in lobar and in deep artery territories there was no correlation with mortality and hemorrhage site. There were positive correlations between intracerebral hemorrhage volume and mortality with moderate correlation strength.

Keywords


intracerebral hemorrhage, mortality, hemorrhage site and volume



References

White BM, Safdieh JE. Neurology Board Review Manual Ischemic Stroke : Pathophysiology and Principles of Localization. Neurol Board Rev. 2009. 2. Beslac-Bumbasirevic L, Paden V, Jovanovic DR, Stefanovic-Budinkic M. Spontaneous intracerebral hemorrhage. Period Biol, 2012;114(3):337–45. 3. Qureshi A, Tuhrim S, Batjer H, Hondo H. Spontaneous intracranial hemorrhage. N Engl J Med 2001;344(19):1450–60. Available at: http://www.ncbi.nlm.nih.gov/pubmed/11346811, 4. Rahmani F, Bakhtavar HE, Soleimanpour H, Ala A, Vahdati SS, Rikhtegar R. Predicting of mortality in patients with intracranial hemorrhage. J Anal Res Clin Med, 2014;2(4):167-70 5. Kase CS, Mohr JP, Caplan LR. Intracerebral Hemorrhage. In: Stroke: Pathophysiology, Diagnosis, and Management. 2004;327–76. 6. Aguilar MI, Brott TG. Update in intracerebral hemorrhage. Neurohospitalist 2011;1(3):148–59. 7. Tshikwela ML, Longo-mbenza B. Spontaneous intracerebral hemorrhage: clinical and computed tomography findings in predicting in-hospital mortality in Central Africans. J Neurosci Rural Pract 2012;3(2):115–20. 8. Yousuf RM, Fauzi ARM, Jamaludin AR, Amran M. Predictors of in-hospital mortality in primary intracerebral haemorrhage in East coast of Peninsular Malaysia. Neurol Asia 2012;17(2):93-9. 9. Hyvarinen M, Tuomilehto J, Mahonen M, Stehouwer CDA, Pyorala K, Zethelius B. Hyperglycemia and incidence of ischemic and hemorrhagic stroke-comparison between fasting and 2-hour glucose criteria. Stroke 2009;40:1633-37. 10. Hitt E. Diabetes mellitus associated with increased intracerebral hemorrhage risk in younger patients; 2007. Available from http://www.medscape.com/view article/559428.[Accessed on 14 April 2015]. 11.Inagawa T, Ohbayashi N, Takechi A, Shibukawa M, Yahara K. Primary intracerebral hemorrhage in Izumo City, Japan: incidence rates and outcome in relation to the site of hemorrhage. Neurosurgery 2003;53(6):1283–97. 12. Broderick JP, Brott TG, Duldner JE, Tomsick T, Huster G. Volume of intracerebral hemorrhage. A powerful and easy-to-use predictor of 30-day mortality. Stroke 1993;24(7):987–93. 13. Wihartantie A, Danarti RD, Faisal A. Hubungan perdarahan intracerebral dan Glascow coma scale pada stroke dengan pemeriksaan multislice computed tomography scan. Tesis. Universitas Gadjah Mada. 2012.



DOI: https://doi.org/10.22146/ahj.v1i1.33621

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