Association between kidney function and intracerebral hematoma volume

2022 ◽  
Vol 96 ◽  
pp. 101-106
Author(s):  
Yasufumi Gon ◽  
Daijiro Kabata ◽  
Hideki Mochizuki
Keyword(s):  
Kidney Function ◽  
Intracerebral Hematoma ◽  
Hematoma Volume

Intracerebral Hematoma, Perihemorrhagic Edema and Urinary Excreted Cysteinyl Leukotrienes Correlation Study

2014 ◽  
Vol 68 (2) ◽  
pp. 85-88
Author(s):  
Natalija Dolnenec-Baneva ◽  
Dijana Nikodijevic ◽  
Gordana Kiteva-Trenchevska ◽  
Igor Petrov ◽  
Dragana Petrovska-Cvetkovska ◽  
...  
Keyword(s):  
Intracerebral Hemorrhage ◽  
Brain Edema ◽  
Correlation Study ◽  
Intracerebral Hematoma ◽  
Moderate Correlation ◽  
Hematoma Volume ◽  
Cysteinyl Leukotrienes ◽  
Edema Volume ◽  
Perihemorrhagic Edema

AbstractIntroduction.Several mechanisms in formation of perihemorrhagic edema are activated after contact of brain tissue-extravasated blood in intracerebral hemorrhage. Cysteinyl leukotrienes (cysLT) (C4, D4, E4) are included in this process as significant edema factors and they determine the neurological deficit and outcome. The study aim was a 5-day follow-up (admission/3 day/5 day) of urinary cysLT, hematoma volume, edema volume values and their correlation in patients after spontaneous, primary supratentorial intracerebral hemorrhage.Methods.An enzyme immunoassay was used for urinary cysLT measured in 62 patients and 80 healthy controls. Hematoma and edema volumes were visualized and measured by computed tomography and mathematically calculated with a special spheroid shape formula (V=AxBxC/2).Results.CysLT of hemorrhagic patients (1842.20±1413.2, 1181.54±906.2, 982.30±774.2pg/ml/mg creatinine) were significantly excreted (p<0.01). Brain edema (12.86±13.5, 22.38±21.1, 28.45±29.4cm3) was significantly increased (p<0.01). Hematoma volume values (13.05±14.5, 13.13±14.7, 12.99±14.7cm3) were not significant (p>0.05). A high correlation (multiple regression) between cysLT, hematoma and edema was found on the 3rdday (R=0.6) and a moderate correlation at admission (R=0.3) and on the 5thday (R=0.3).Conclusion.In our 5-day follow-up study a significant cysLT brain synthesis and significant brain edema progression versus constant hematoma volume values in hemorrhagic patients was found. A high correlation between cysLT, hematoma and edema volume was found on the 3rdday, a moderate correlation on admission and on the 5thday, which means that high cysLT and hematoma values were associated with high/moderate edema values.

Volume-dependent overestimation of spontaneous intracerebral hematoma volume by the ABC/2 formula

2009 ◽  
Vol 50 (3) ◽  
pp. 306-311 ◽  
Author(s):  
Chih-Wei Wang ◽  
Chun-Jung Juan ◽  
Yi-Jui Liu ◽  
Hsian-He Hsu ◽  
Hua-Shan Liu ◽  
...  
Keyword(s):  
Estimation Error ◽  
Positive Association ◽  
Volumetric Analysis ◽  
Intracerebral Hematoma ◽  
Computer Assisted ◽  
Hematoma Volume ◽  
Computed Tomography Scans ◽  
Group 3 ◽  
The Mean ◽  
Group 2

Background: Although the ABC/2 formula has been widely used to estimate the volume of intracerebral hematoma (ICH), the formula tends to overestimate hematoma volume. The volume-related imprecision of the ABC/2 formula has not been documented quantitatively. Purpose: To investigate the volume-dependent overestimation of the ABC/2 formula by comparing it with computer-assisted volumetric analysis (CAVA). Material and Methods: Forty patients who had suffered spontaneous ICH and who had undergone non-enhanced brain computed tomography scans were enrolled in this study. The ICH volume was estimated based on the ABC/2 formula and also calculated by CAVA. Based on the ICH volume calculated by the CAVA method, the patients were divided into three groups: group 1 consisted of 17 patients with an ICH volume of less than 20 ml; group 2 comprised 13 patients with an ICH volume of 20 to 40 ml; and group 3 was composed of 10 patients with an ICH volume larger than 40 ml. Results: The mean estimated hematoma volume was 43.6 ml when using the ABC/2 formula, compared with 33.8 ml when using the CAVA method. The mean estimated difference was 1.3 ml, 4.4 ml, and 31.4 ml for groups 1, 2, and 3, respectively, corresponding to an estimation error of 9.9%, 16.7%, and 37.1% by the ABC/2 formula ( P<0.05). Conclusion: The ABC/2 formula significantly overestimates the volume of ICH. A positive association between the estimation error and the volume of ICH is demonstrated.

scholarly journals Relationship between White Matter Hyperintensities and Hematoma Volume in Patients with Intracerebral Hematoma

2018 ◽  
Vol 9 (6) ◽  
pp. 999 ◽  
Author(s):  
Xuemei Chen ◽  
Yuexinzi Jin ◽  
Jian Chen ◽  
Xin Chen ◽  
Xiang Cao ◽  
...  
Keyword(s):  
White Matter ◽  
White Matter Hyperintensities ◽  
Intracerebral Hematoma ◽  
Hematoma Volume

scholarly journals Retrospective comparison of decompressive hemicraniectomy and hematoma evacuation for spontaneous supratentorial intracerebral hematoma

Pulse ◽  
2015 ◽  
Vol 7 (1) ◽  
pp. 16-21 ◽  
Author(s):  
MA Joarder ◽  
AKMB Karim ◽  
T Kamal ◽  
T Sujon ◽  
N Akhter ◽  
...  
Keyword(s):  
Glasgow Coma Scale ◽  
Intracerebral Hematoma ◽  
Modified Rankin Scale ◽  
Hematoma Volume ◽  
Coma Scale ◽  
Decompressive Hemicraniectomy ◽  
Hematoma Evacuation ◽  
Retrospective Comparison ◽  
P 16 ◽  
Poor Outcomes

Objectives: The aim of this study was to test the hypothesis that decompressive hemicraniectomy (DHC), compared with craniotomy with evacuation of hematoma, and would improve clinical outcomes of patients with supratentorial intracerebral hemorrhage (SICH).Methods: We compared patients (November 2008–February 2014) with supratentorial ICH treated with DHC without hematoma evacuation and craniotomy with hematoma evacuation. DHC measured at least 150 mm and included opening of the dura. We analyzed clinical, radiological, and surgical characteristics. Outcome at 6 months was divided into good (modified Rankin Scale 0–4) and poor (modified Rankin Scale 5–6).Results: Fifteen patients (mean age 58 years) with ICH were treated by DHC. Median hematoma volume was 61 ml and mean preoperative Glasgow Coma Scale (GCS) was 7. Ten patients had good and five had poor outcomes. In hematoma evacuation group 29 patients were treated. Median hematoma volume was 55 ml and mean preoperative Glasgow Coma Scale (GCS) was 8. Seventeen patients had good and twelve had poor outcomes.Conclusions: DHC is more effective than hematoma evacuation in patients with SICH. Based on this small cohort, DHC may reduce mortality. Larger prospective study is warranted to assess safety and efficacy.Pulse Vol.7 January-December 2014 p.16-21

scholarly journals Technical Notes and Result of Stereotactic Evacuation of Hematoma in Spontaneous Supratentorial Intracerebral Hematoma

2018 ◽  
Vol 15 (3) ◽  
pp. 27-31
Author(s):  
Resha Shrestha ◽  
Pranaya Shrestha ◽  
Pravesh Rajbhandari ◽  
Samir Acharya ◽  
Sudan Dhakal ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Minimal Invasive ◽  
Technical Note ◽  
Stereotactic Surgery ◽  
Intracerebral Hematoma ◽  
Modified Rankin Scale ◽  
Hematoma Volume ◽  
Baseline Characteristics

Primary intracerebral hematoma constitutes about 10-15% of all strokes and is associated with high mortality and severe disability. Surgical treatment of intracerebral hemorrhage is quite controversial. It is believed that minimal invasive stereotactic surgery may reduce hematoma volume and decrease secondary neurotoxicity. The technical note of stereotactic surgery has been illustrated. A retrospective study from March 2016 to March 2018 has been conducted and all patients who underwent stereotactic evacuation of hematoma were included in this study. Baseline characteristics of patients and outcome in terms of Glasgow Coma Scale (GCS) and Modified Rankin Scale (mRS) have been shown. We have found significant improvement in GCS postoperatively, however mRS did not improve immediately but was significantly better in three months follow up period.

scholarly journals Stereotactic fibrinolysis of spontaneous intracerebral hematoma using infusion of recombinant tissue plasminogen activator

2002 ◽  
Vol 60 (2B) ◽  
pp. 362-366 ◽  
Author(s):  
José Augusto Nasser ◽  
Asdrubal Falavigna ◽  
Márcio Bezerra ◽  
Victor Martinez ◽  
Gabriel Freitas ◽  
...  
Keyword(s):  
Plasminogen Activator ◽  
Tissue Plasminogen Activator ◽  
Recombinant Tissue Plasminogen Activator ◽  
Intracerebral Hematoma ◽  
Hematoma Volume ◽  
Secondary Complications ◽  
Systemic Complications ◽  
The Third ◽  
Tissue Plasminogen ◽  
A Prospective Study

PURPOSE: The authors present a prospective study on 10 patients with stereotactic infusion of tissue plasminogen activator (rtPA) intraparenchimal hemorrhage. METHODS: Between 1999 and 2000, 10 patients with deep seated hematomas in the basal ganglia were selected for stereotactic infusion of rtPA and spontaneous clot drainage. RESULTS: All cases had about 80% reduction of the hematoma volume in the CT scan at the third day. The intracranial pressure was normalized by the third day too. There were no local or systemic complications with the use of this trombolitic. The results were shown by the Glasgow Outcome Scale with six patients in V, three in IV and one in III after 3 months. CONCLUSION: Early treatment and drainage with minimally invasive neurosurgery , can make these patients with deep-seated hematomas recover the consciousness and they can be rehabilitated earlier avoiding secondary complications.

scholarly journals Does the Volume and Localization of Intracerebral Hematoma Affect Short-Term Prognosis of Patients with Intracerebral Hemorrhage?

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Denisa Salihović ◽  
Dževdet Smajlović ◽  
Omer Ć. Ibrahimagić
Keyword(s):  
Mortality Rate ◽  
Intracerebral Hemorrhage ◽  
Ct Scan ◽  
Statistical Significance ◽  
Age Groups ◽  
Intraventricular Haemorrhage ◽  
Intracerebral Hematoma ◽  
Hematoma Volume ◽  
Short Term

The aim of this study was to determine whether volume and localization of intracerebral hematoma affects the six-month prognosis of patients with intracerebral hemorrhage (ICH). Patients and Methods. The study included 75 patients with ICH of both sex and all age groups. ICH, based on CT scan findings, was divided in the following groups: lobar, subcortical, infratentorial, intraventricular haemorrhage and multiple hematomas. Volume of intracerebral hematoma was calculated according to formula . Intracerebral hematomas, according to the volume, are divided in three groups (0–29 mL, 30–60 mL, and >60 mL). Results. The highest mortality rate was recorded in the group with multiple hematomas (41%), while the lowest in infratentorial (12.8%). The best six-month survival was in patients with a volume up to 29 mL, 30 of them (64%) survived. The highest mortality rate was recorded in patients with the hematoma volume >60 mL (85%). Kaplan-Meier’s analysis showed that there was statistical significance between the size of the hematoma and the six-month survival (). More than half of patients (61.1%) who survived 6 months after ICH were functionally independent (Rankin scale ≤2). Conclusion The volume of hematoma significantly affects six-month prognosis in patients with intracerebral hemorrhage, while localization does not.

scholarly journals Short-term outcomes of endoscopic evacuation of supratentorial spontaneous intracerebral hematoma: Early experience from developing country

2021 ◽  
Vol 12 ◽  
pp. 309
Author(s):  
Mohammad Elbaroody ◽  
Mohamed Adel Ghoneim ◽  
Ahmed El Fiki ◽  
Hesham Hozayen ◽  
Wael El-Mahdy
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Technique ◽  
Intracerebral Hematoma ◽  
Invasive Technique ◽  
Hematoma Volume ◽  
Short Term ◽  
Hematoma Evacuation ◽  
Postoperative Hematoma ◽  
Common Location ◽  
Ich Score

Background: Minimally invasive endoscopic hematoma evacuation is a promising treatment option for intracerebral hemorrhage (ICH). However, the technique still needs improvement. Methods: We report our early clinical experience of using this technique to evacuate supratentorial spontaneous intracerebral hematomas and evaluate its short-term outcomes. Results: The study included 15 patients, basal ganglia hematoma was the most common location 62.5%, mean preoperative hematoma volume was 61.07 cc, mean ICH score was 3, and mean rate of hematoma evacuation was 89.27%. Factors that could be related to mortality were Glasgow Coma Score (GCS) on admission (P = 0.001), ICH score (P = 0.004); postoperative GCS (P < 0.001), postoperative hematoma volume (P = 0.006); intraventricular extension (P = 0.001), and rate of evacuation (P = 0.001). Conclusion: Endoscopic technique is a safe surgical option for evacuation of spontaneous supratentorial ICH. This minimally invasive technique could be helpful to provide better short-term outcomes for selected patients. However, in our experience, this minimally invasive technique did not change the outcome for cases presented with poor GCS on admission 4/15. Our results warrant a future prospective, randomized, controlled efficacy trial.

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