scholarly journals Hemostatic Treatment in the Early Stage of Intracerebral Hemorrhage

Stroke ◽  
2005 ◽  
Vol 36 (10) ◽  
pp. 2321-2322 ◽  
Author(s):  
Carlos S. Kase
Keyword(s):  
Intracerebral Hemorrhage ◽  
Early Stage

scholarly journals Noninvasive and portable stroke type discrimination and progress monitoring based on a multichannel microwave transmitting–receiving system

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Jia Xu ◽  
Jingbo Chen ◽  
Wei Yu ◽  
Haisheng Zhang ◽  
Feng Wang ◽  
...  
Keyword(s):  
Cerebral Ischemia ◽  
Intracerebral Hemorrhage ◽  
Cerebral Hemorrhage ◽  
Single Channel ◽  
Detection System ◽  
Early Stage ◽  
Support Vector ◽  
Stroke Severity ◽  
Discrimination Accuracy ◽  
Stroke Type

AbstractThe hemorrhagic and the ischemic types of stroke have similar symptoms in the early stage, but their treatments are completely different. The timely and effective discrimination of the two types of stroke can considerable improve the patients' prognosis. In this paper, a 16-channel and noncontact microwave-based stroke detection system was proposed and demonstrated for the potential differentiation of the hemorrhagic and the ischemic stroke. In animal experiments, 10 rabbits were divided into two groups. One group consisted of five cerebral hemorrhage models, and the other group consisted of five cerebral ischemia models. The two groups were monitored by the system to obtain the Euclidean distance transform value of microwave scattering parameters caused by pathological changes in the brain. The support vector machine was used to identify the type and the severity of the stroke. Based on the experiment, a discrimination accuracy of 96% between hemorrhage and ischemia stroke was achieved. Furthermore, the potential of monitoring the progress of intracerebral hemorrhage or ischemia was evaluated. The discrimination of different degrees of intracerebral hemorrhage achieved 86.7% accuracy, and the discrimination of different severities of ischemia achieved 94% accuracy. Compared with that with multiple channels, the discrimination accuracy of the stroke severity with a single channel was only 50% for the intracerebral hemorrhage and ischemia stroke. The study showed that the microwave-based stroke detection system can effectively distinguish between the cerebral hemorrhage and the cerebral ischemia models. This system is very promising for the prehospital identification of the stroke type due to its low cost, noninvasiveness, and ease of operation.

Prognostic Prediction of Dysphagia by Analyzing the Corticobulbar Tract in the Early Stage of Intracerebral Hemorrhage

Dysphagia ◽  
2020 ◽  
Vol 35 (6) ◽  
pp. 985-992 ◽  
Author(s):  
Sung Ho Jang ◽  
So Young Kwak ◽  
Chul Hoon Chang ◽  
Young Jin Jung ◽  
JongHoon Kim ◽  
...  
Keyword(s):  
Intracerebral Hemorrhage ◽  
Early Stage ◽  
Corticobulbar Tract ◽  
Prognostic Prediction

scholarly journals Septic Embolic Stroke Followed by Hemorrhage and Brain Abscess in a Patient with Systemic Infections: A Case Report and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Jama A. Mohamud ◽  
Jingtao Wu ◽  
Ye Jing ◽  
Yu Wang
Keyword(s):  
Intracerebral Hemorrhage ◽  
Brain Abscess ◽  
Early Stage ◽  
Systemic Infection ◽  
Occipital Lobe ◽  
Neurological Status ◽  
Radiographic Findings ◽  
Brain Ct Scan ◽  
The Right ◽  
Systemic Infections

We report a case of 50-year-old man with a severe acute ischemic stroke followed by intracerebral hemorrhage and brain abscess due to systemic infection. His initial intracranial radiographic findings were normal but three days later MRI scan of the brain revealed well-defined rounded cystic lesion on the T2-weighted and T1-weighted images in the right basal ganglia; the lesion presented an area of diffusion restriction on DWI; lately the lesion was confirmed to be an early stage of cerebral abscess. A week later the patient was noted to have worsening neurological status and left extremity weakness, and emergency brain CT scan revealed massive intracerebral hemorrhage in the right occipital lobe; he underwent intracranial hematoma evacuation surgery. The hematoma was removed successfully, and the systemic infections were treated with antibiotics.

Motor outcome according to diffusion tensor tractography findings in the early stage of intracerebral hemorrhage

2007 ◽  
Vol 421 (2) ◽  
pp. 142-146 ◽  
Author(s):  
Sang-Hyun Cho ◽  
Seong Ho Kim ◽  
Byung Yun Choi ◽  
Soo Ho Cho ◽  
Jae Hoon Kang ◽  
...  
Keyword(s):  
Intracerebral Hemorrhage ◽  
Diffusion Tensor ◽  
Early Stage ◽  
Diffusion Tensor Tractography ◽  
Motor Outcome

scholarly journals High CSF thrombin concentration and activity is associated with an unfavorable outcome in patients with intracerebral hemorrhage

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241565
Author(s):  
Harald Krenzlin ◽  
Christina Frenz ◽  
Jan Schmitt ◽  
Julia Masomi-Bornwasser ◽  
Dominik Wesp ◽  
...  
Keyword(s):  
Intracerebral Hemorrhage ◽  
Neurological Outcome ◽  
Neuronal Damage ◽  
Early Stage ◽  
Demographic Data ◽  
Clinical Status ◽  
Oxidative Stress Marker ◽  
Csf Levels ◽  
Discharge From Hospital ◽  
The Impact

Background The cerebral thrombin system is activated in the early stage after intracerebral hemorrhage (ICH). Expression of thrombin leads to concentration dependent secondary neuronal damage and detrimental neurological outcome. In this study we aimed to investigate the impact of thrombin concentration and activity in the cerebrospinal fluid (CSF) of patients with ICH on clinical outcome. Methods Patients presenting with space-occupying lobar supratentorial hemorrhage requiring extra-ventricular drainage (EVD) were included in our study. The CSF levels of thrombin, its precursor prothrombin and the Thrombin-Antithrombin complex (TAT) were measured using enzyme linked immune sorbent assays (ELISA). The oxidative stress marker Superoxide dismutase (SOD) was assessed in CSF. Initial clot size and intraventricular hemorrhage (IVH) volume was calculated based on by computerized tomography (CT) upon admission to our hospital. Demographic data, clinical status at admission and neurological outcome were assessed using the modified Rankin Scale (mRS) at 6-weeks and 6-month after ICH. Results Twenty-two consecutive patients (9 females, 11 males) with supratentorial hemorrhage were included in this study. CSF concentrations of prothrombin (p < 0.005), thrombin (p = 0.005) and TAT (p = 0.046) were statistical significantly different in patients with ICH compared to non-hemorrhagic CSF samples. CSF concentrations of thrombin 24h after ICH correlated with the mRS index after 6 weeks (r2 = 0.73; < 0.005) and 6 months (r2 = 0.63; < 0.005) after discharge from hospital. Thrombin activity, measured via TAT as surrogate parameter of coagulation, likewise correlated with the mRS at 6 weeks (r2 = 0.54; < 0.01) and 6 months (r2 = 0.66; < 0.04). High thrombin concentrations coincide with higher SOD levels 24h after ICH (p = 0.01). Conclusion In this study we found that initial thrombin concentration and activity in CSF of ICH patients did not correlate with ICH and IVH volume but are associated with a poorer functional neurological outcome. These findings support mounting evidence of the role of thrombin as a contributor to secondary injury formation after ICH.

Corticospinal Tract Change in the Unaffected Hemisphere at the Early Stage of Intracerebral Hemorrhage: A Diffusion Tensor Tractography Study

2010 ◽  
Vol 63 (3) ◽  
pp. 149-153 ◽  
Author(s):  
So Young Kwak ◽  
Sang Seok Yeo ◽  
Byung Yeon Choi ◽  
Chul Hoon Chang ◽  
Sung Ho Jang
Keyword(s):  
Intracerebral Hemorrhage ◽  
Corticospinal Tract ◽  
Diffusion Tensor ◽  
Early Stage ◽  
Diffusion Tensor Tractography

scholarly journals Early-Stage Estimated Value of Blend Sign on the Prognosis of Patients with Intracerebral Hemorrhage

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Weijun Wang ◽  
Ningquan Zhou ◽  
Chao Wang
Keyword(s):  
Mortality Rate ◽  
Intracerebral Hemorrhage ◽  
Early Stage ◽  
Conventional Group ◽  
Cranial Computed Tomography ◽  
Coagulation Function ◽  
Significant Difference ◽  
Rebleeding Rate ◽  
The Difference ◽  
The Relationship

Background and Purpose. This study aimed to explore the relationship between blend sign and prognosis of patients with intracerebral hemorrhage (ICH). Methods. Between January 2014 and December 2016, the results of cranial computed tomography imaging within 24 h after the onset of symptoms from 275 patients with ICH were retrospectively analyzed. The patients with or without blend sign were compared to observe and analyze the difference in coagulation function abnormality, rebleeding, mortality, and bad prognosis rates in the early stages. Results. Of the 275 patients with ICH, 47 patients had Blend Sign I (17.09%) and 17 patients had Blend Sign II (6.18%). The coagulation function abnormality rate had no statistical difference among Blend Sign I, Blend Sign II, and conventional groups (P>0.05). In the Blend Sign I group, the rebleeding rate was 4.26%, bad prognosis rate was 25.53%, and mortality rate was 6.38%, which were not statistically significantly different compared with those in the conventional group (P>0.05). The rebleeding rate in the Blend Sign II group was 47.06%, bad prognosis rate was 82.35%, and mortality rate was 47.06%, which were statistically significantly different compared with those in the conventional and Blend Sign I groups (P<0.05). Conclusions. For the patients associated with Blend Sign I, the prognosis was equivalent to that in the conventional group, with no statistically significant difference. The rebleeding, bad prognosis, and mortality rates were higher in the Blend Sign II group than in the conventional group and deserved more attention.

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