scholarly journals Intraparenchymal haemorrhage with intraventricular extension

2021 ◽  
Author(s):  
Sachintha Hapugoda ◽  
Aravinda Perera
2020 ◽  
Author(s):  
Dongzhou Zhuang ◽  
Jiangtao Sheng ◽  
Guoyi Peng ◽  
Tian Li ◽  
Shirong Cai ◽  
...  

Abstract BackgroundThis study aimed to explore the association between the neutrophil-to-lymphocyte ratio (NLR) and early growth of traumatic intraparenchymal haemorrhage (tICH) in patients with traumatic brain injury.MethodsA multicentre, observational cohort study was conducted at four hospitals and included patients with cerebral contusion undergoing baseline computed tomography (CT) for haematoma volume analysis within 6 hours after primary injury and who had follow-up visits within 48 hours. Routine blood tests were performed upon admission and analysed with early PIH. Logistic regression and receiver operating characteristic (ROC) analysis was used to explore the predictive value of the NLR for haematoma expansion. ResultsThe final analysis included 1003 patients in the retrospective development and validation cohorts. In the retrospective development cohort, the NLR were higher in the PIH group than in the non-PIH group (P<0.0001). Multivariate logistic regression analysis revealed that a higher NLR was independently associated with PIH (P<0.0001). ROC curve analysis showed that the NLR had a sensitive ability for predicting PIH (AUC, 0.91 [95% CI, 0.88-0.94]). In the validation study, the NLR had a similar ability to predict PIH. ConclusionThe NLR can be used to easily assess the growth of tICH and calculated using routine laboratory tests. A high NLR is independently predictive of early growth of tICH and may aid in risk stratification of patients with tICH on admission.


2003 ◽  
Vol 16 (5) ◽  
pp. 908-913
Author(s):  
A.C. Liu ◽  
D.E. Saunders ◽  
W.K. Chong ◽  
V. Ganesan ◽  
R.D. Hayward

2014 ◽  
Vol 2014 (mar18 1) ◽  
pp. bcr2013201891-bcr2013201891 ◽  
Author(s):  
C.-L. K. Bennin ◽  
V. Ramoutar ◽  
G. Velarde

2002 ◽  
Vol 15 (5) ◽  
pp. 501-506
Author(s):  
G. Ferrari

An aneurysm is a swelling along a blood vessel. The majority of aneurysms are saccular in shape and result from a combination of factors. Prevalence of unruptured aneurysms varies from 0.4–3.6% to 3.7–6%. The frequency of asymptomatic aneurysm rupture is about 1–2%. The clinical presentation of aneurysms occurs due to: rupture (subarachnoid haemorrhage SAH, intraparenchymal haemorrhage, intraventricular haemorrhage); Warning Leak; nonhaemorrhagic manifestation. The incidence of SAH is steady at 10.5/100 000 per year. Clinical diagnosis of SAH may be straightforward if all major symptoms are present. However, in case of few symptoms or headache as the only symptom (Warning Leak) diagnosis may be difficult and the risk of misdiagnosis is high. In case of suspect SAH, CT is the first choice examination. However, lumbar puncture is still an indispensable step in the exclusion of SAH in patients with a convincing history and negative imaging. In case of untreated ruptured aneurysm there is a 3–4% risk of rebleeding in the first 24 hours, a 1–2% per day risk in the first month, and a long-term risk of 3% per year after three months. Urgent evaluation and treatment of patients with suspected SAH are strongly recommended.


2006 ◽  
pp. 27-48
Author(s):  
N. Zarrelli ◽  
F. Perfetto ◽  
T. Parracino ◽  
T. Garribba ◽  
P. Maggi ◽  
...  

2012 ◽  
Vol 19 (6) ◽  
pp. 914-916 ◽  
Author(s):  
Paolo Missori ◽  
Gianluca Coppola ◽  
Sergio Paolini ◽  
Francesco Pierelli ◽  
Antonio Currà

2014 ◽  
Vol 20 (6) ◽  
pp. 729-735 ◽  
Author(s):  
Ramazan Buyukkaya ◽  
Hasan Kocaeli ◽  
Nalan Yildirim ◽  
Hakan Cebeci ◽  
Cüneyt Erdogan ◽  
...  

This study describes the peri-procedural and late complications and angiographic follow-up results of 32 patients with 34 complex aneurysms treated with flow diverter Silk stents in a single centre. In this retrospective study, 40 Silk stents (SS) were implanted in 34 complex intracranial aneurysms in 32 patients. In our series, 20 (58.8%) carotid-ophthalmic internal carotid artery (ICA), six (17.6%) cavernous ICA, two (5.9%) supraclinoid ICA, two (5.9%) petrosal ICA (the same patient- bilateral) and four (11.8%) posterior circulation aneurysms were treated. One of the posterior circulation lesions was a fenestrated-type aneurysm. Twenty wide-necked, saccular; eight neck remnant; four fusiform and two blister-like aneurysms were included in our series. SS were successfully implanted in all patients (100%). Misdeployment occurred in 17.6% of patients. In two of these patients adequate stent openness was achieved via Hyperglide balloon dilatation. Coil embolization in addition to SS placement was utilized in four aneurysms. One patient (3%) experienced transient morbidity due to a thromboembolic event and there was one mortality (3%) due to remote intraparenchymal haemorrhage. Complete occlusion of 27/33 (81.8%) and 29/33 (87.9%) aneurysms was achieved six and 12 months after the procedure, respectively. In-stent intimal hyperplasia was detected in 6.1% patients. Flow-diverter Silk stent implantation is an effective method of treating complex aneurysms with acceptable mortality and morbidity rates. Complete occlusion is achieved in most of the complex aneurysms.


2015 ◽  
Vol 24 (8) ◽  
pp. 824-830 ◽  
Author(s):  
Alim P. Mitha ◽  
Jonathan P. Mynard ◽  
John A. Storwick ◽  
Zaher I. Shivji ◽  
John H. Wong ◽  
...  

2021 ◽  
Vol 10 (11) ◽  
pp. 839-840
Author(s):  
Nafe Navid Chinde ◽  
Simran Kaur ◽  
Sushma Laxma Reddygari

Acute lymphoblastic leukaemia / lymphoblastic lymphoma is the most common childhood malignancy. Leukaemia and lymphoma are clinical presentations of the same disease. It is estimated that approximately 2500 to 3500 new cases are diagnosed each year in the United States, with an incidence of approximately 3.4 cases per 100,000. Number of the cases vary all over the world which is due to diagnostic and reporting differences.1,2 Leukaemia, especially acute types, can lead to intracranial haemorrhage (ICH) with high morbidity and mortality. It was reported that ICH occurred in 2.8 % adult patients with haematological malignancies. 3,4 But majority of cases presented with intraparenchymal haemorrhage, only rare cases have been seen to present with sub dural haemorrhage.


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