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Hypertensive caudate hemorrhage prognostic predictor, outcome, and role of external ventricular drainage.
- Source :
-
Stroke [Stroke] 2001 May; Vol. 32 (5), pp. 1195-200. - Publication Year :
- 2001
-
Abstract
- Background and Purpose: The purpose of the present study was to analyze the outcome and outcome predictors of caudate hemorrhage and role of external ventricular drainage in acute hydrocephalus.<br />Methods: Clinical data from 36 consecutive patients with hypertensive caudate hemorrhage was used in the present study. Age, gender, volume of parenchymal hematoma, hematoma in the internal capsule, initial Glasgow Coma Scale (GCS), hydrocephalus, severity of intraventricular hemorrhage, and hemorrhagic dilatation of the fourth ventricle were analyzed for effect on outcome. Effect of external ventricle drainage for hydrocephalus was evaluated by comparing preoperative and postoperative GCS scores.<br />Results: By univariate analyses, poor outcome was associated with a poor initial GCS score (P=0.016), hydrocephalus (P<0.001), intraventricular hemorrhage severity (P<0.01), and hemorrhagic dilatation of the fourth ventricle (P=0.02). By multivariate analysis, stepwise logistic regression revealed that hydrocephalus was the only independent prognostic factor for poor outcome (P<0.001). Postoperative 48-hour GCS score was better than the preoperative score by use of paired-sample t test (P<0.001).<br />Conclusions: Hydrocephalus is the most important predictor of poor outcome. External ventricular drainage response for hydrocephalus was good in the present study, whereas an early decision should be made regarding preoperative neurological condition.
- Subjects :
- Basal Ganglia Hemorrhage therapy
Caudate Nucleus blood supply
Cerebrospinal Fluid Shunts
Drainage methods
Glasgow Coma Scale
Humans
Hydrocephalus complications
Hydrocephalus diagnosis
Hypertension diagnosis
Logistic Models
Multivariate Analysis
Predictive Value of Tests
Prognosis
Retrospective Studies
Tomography, X-Ray Computed
Treatment Outcome
Basal Ganglia Hemorrhage complications
Basal Ganglia Hemorrhage diagnosis
Caudate Nucleus pathology
Cerebral Ventricles surgery
Hydrocephalus therapy
Hypertension complications
Subjects
Details
- Language :
- English
- ISSN :
- 1524-4628
- Volume :
- 32
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Stroke
- Publication Type :
- Academic Journal
- Accession number :
- 11340233
- Full Text :
- https://doi.org/10.1161/01.str.32.5.1195