Association Between Anatomical Location and Hematoma Expansion in Deep Intracerebral Hemorrhage

被引:3
作者
Song, Lei [1 ,2 ,3 ]
Qiu, Xiao-Ming [4 ]
Guo, Ting-Ting [5 ]
Zhou, Hang [6 ]
Tang, Dong-Fang [7 ]
Wang, Long-Sheng [8 ]
Fu, Yu-Fei [4 ]
Chen, Hui [6 ]
Mao, Hua-Qing [9 ]
Wang, Hai-Bao [1 ]
Yu, Yong-Qiang [1 ,2 ,3 ]
机构
[1] Anhui Med Univ, Dept Radiol, Affiliated Hosp 1, Hefei, Peoples R China
[2] Res Ctr Clin Med Imaging, Hefei, Peoples R China
[3] Anhui Prov Inst Translat Med, Hefei, Peoples R China
[4] Hubei Polytech Univ, Huangshi Cent Hosp, Dept Radiol, Edong Healthcare Grp,Affiliated Hosp, Huangshi, Peoples R China
[5] Hubei Univ Med, Dept Radiol, Xiangyang Peoples Hosp 1, Xiangyang, Peoples R China
[6] Hubei Univ Arts & Sci, Xiangyang Cent Hosp, Dept Radiol, Affiliated Hosp, Xiangyang, Peoples R China
[7] Hubei Univ Arts & Sci, Xiangyang Cent Hosp, Dept Neurosurg, Affiliated Hosp, Xiangyang, Peoples R China
[8] Anhui Med Univ, Dept Radiol, Hosp 2, Hefei, Peoples R China
[9] Hubei Univ Arts & Sci, Sch Comp Engn, Xiangyang, Peoples R China
来源
FRONTIERS IN NEUROLOGY | 2022年 / 12卷
基金
中国国家自然科学基金;
关键词
intracerebral hemorrhage; hematoma expansion; deep; location; stroke; INTERNAL CAPSULE; LOBAR;
D O I
10.3389/fneur.2021.749931
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
ObjectiveTo establish the relationship between hematoma sites of involvement and hematoma expansion (HE) in patients with deep intracerebral hemorrhage (ICH). MethodsEligible patients with deep ICH admitted to hospital within 6 hours of onset between 2018 and 2020 were included in this retrospective multi-center study. Individuals with secondary ICH were excluded. The volume of HE was evaluated based on admission and follow-up computed tomography scans. Associations between deep ICH sites of involvement and HE were examined using multivariable logistic regression analysis while adjusting for confounding covariates of HE. ResultsWe enrolled 583 individuals from three stroke centers. Data from a final total of 460 patients were used in the analysis; of these patients, 159 (34.6%) had HE. In the crude model without adjustment, external capsule, anterior limb of the internal capsule, and posterior limb of the internal capsule (PLIC) involvement were correlated with HE. After fully adjusted models for sex, age, intraventricular hemorrhage, Glasgow Coma Scale admission score, baseline ICH volume, and time from onset to initial computed tomography, multivariable logistic regression revealed that the PLIC is a robust predictor of HE in patients with deep ICH (adjusted odds ratio = 2.73; 95% confidence interval = 1.75-4.26; p < 0.001). ConclusionInvolvement of the posterior limb of the internal capsule in deep hemorrhage could be a promising predictor of HE.
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页数:7
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