Author:
Yang Xu,Zhu Yan,Zhang Linshan,Wang Likun,Mao Yuanhong,Li Yinghui,Luo Jinbiao,Wu Guofeng
Abstract
Abstract
Background
The initial CT blend sign is an imaging marker that has been used to predict haematoma expansion and poor outcomes in patients with small-volume intracerebral haemorrhage (ICH). However, the association of the blend sign with the outcomes of patients undergoing surgery remains unclear. The present study aimed to retrospectively evaluate the influence of the initial CT blend sign on short-term outcomes in patients with hypertensive ICH after stereotactic minimally invasive surgery (sMIS).
Methods
We enrolled 242 patients with spontaneous ICH. The patients were assigned to the blend sign group (91 patients) or non-blend sign (control) group (151 patients) based on the initial CT features. The NIHSS, GCS and mRS were used to assess the effects of sMIS. The rates of severe pulmonary infection and cardiac complications were also compared between the two groups.
Results
Statistically significant differences in the NIHSS and GCS scores were not observed between the blend sign group and the control group. No significant differences in the proportion of patients with good outcomes during the follow-up period were observed between the two groups. A higher rate of re-haemorrhage was noted in the blend sign group. Significant differences in the rates of severe pulmonary infection and cardiac complications were not observed between the two groups.
Conclusions
The initial CT blend sign is not associated with poor outcomes in patients with hypertensive ICH after sMIS. ICH patients with the CT blend sign should undergo sMIS if they are suitable candidates for surgery.
Funder
Natural Science Foundation of China
Medical Speciality and Community Project Construction in Baoshan District –Neurorehabilitation Speciality
the High-level Overseas Talents Innovation and Entrepreneurship Merit-based Funding Projects
Publisher
Springer Science and Business Media LLC
Subject
Clinical Neurology,General Medicine
Cited by
2 articles.
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