Outcome of Spontaneous Supratentorial Intracerebral Hematoma

[摘要] Background: Spontaneous intracerebral haematoma accounts for approximately 10-15% of all acute cerebrovascular diseases. Objective: To clarify the predictors of 30-day mortality in patients with spontaneous supratentorial intracerebral haematoma. Furthermore to throw light on factors that determine the probability of favorable functional outcome in patients who survive the acute stage of such type of intracerebral hematoma. Methods: The study was carried out 67 on consecutive patients with supratentorial intracerebral haematoma. They were conservatively treated and the mortality rate was calculated 30 days following the stroke onset, whereas the survivors were evaluated for 2-months and their functional outcome was classified according to the Rankin disability scale. Results: Among the 67 studied patients the 30-day mortality rate was 11 deaths (16.42%), whereas among the 56 surviving patients, 41 (73.2%) had satisfactory functional outcome at the end of the follow up period. With multivariate analysis, this study demonstrated 2 significant independent predictors of 30-day mortality: admission Glasgow coma score and haematoma size and 3 significant independent predictors of the 2-months functional recovery: patient's age, admission Glasgow coma score and haematoma size. Conclusion: During the acute stage computed tomographic and clinical findings by themselves can help to predict which patients are at high risk of short term mortality and may require intensive treatment. Moreover, in the survivors of the acute stage, age is one of the most important determinants of functional recovery. This may mean that every- effort should be taken to salvage younger patients during the acute stage since their possibility of later recovery seems to be high regardless of other parameters. (Egypt J Neurol Psychiat Neurosurg.  2010; 47(2): 241-247)

[学科分类] 精神健康和精神病学