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| Relationship CT scan non-uniform density hematoma and clinical prognosis of patients with primary cerebral hemorrhage in basal ganglia between on plain |
| HE Min1 CHEN Houqin1 SHAO Lingyun1 ZUO Jian1 HAN Jiangquan2 |
1.Department of Neurology, Wuhu NO.1 People′s Hospital, Anhui Province, Wuhu 241000, China;
2.Department of Neurology, the Fifth Affiliated Hospital of Zunyi Medical University, Guangdong Province, Zhuhai 519100, China |
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Abstract Objective To explore the relationship between non-uniform density hematoma on plain CT scan and the clinical prognosis of patients with primary cerebral hemorrhage in basal ganglia. Methods From January 2014 to October 2018, a total of 146 patients with primary cerebral hemorrhage in basal ganglia and within 6 h admitted to Wuhu NO.1 People′s Hospital were selected. According to the modified Rankin Scale (mRS), they were divided into 77 patients of good clinical prognosis group (0-2 points) and 69 patients of poor prognosis group (3-6 points). One-way ANOVA and multivariate Logistic regression analysis were used to screen risk factors for poor clinical prognosis. Results The systolic blood pressure on admission, baseline of the national institutes of health stroke scale (NIHSS) scores, positive rate of non-uniform density hematoma, positive rate of hematoma mixed character, positive rate of hematoma black holes), rate of early neurologic deterioration, hematoma expansion rate, 3 weeks NIHSS score, mRS score in poor prognosis group were higher than those in good prognosis group, while the computed tomography (CT) for the first time and completion time is shorter than good prognosis group, baseline hematoma volume was larger than good prognosis group, the differences were statistically significant (all P ＜ 0.05). Positive rate of non-uniform density hematoma and systolic blood pressure at admission were influencing factors of hematoma enlargement, early deterioration of neurological function and poor prognosis at 6 months in patients with cerebral hemorrhage at basal ganglia (P ＜ 0.05). Conclusion CT non-uniform density hematoma (black hole sign or blend sign) is an risk factor for poor prognosis of spontaneous cerebral hemorrhage.
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