Putaminal Hemorrhage and Outcome

Abstract

Twenty-five patients (average age, 65 ± 4.5 years) with spontaneous putaminal hemorrhage were studied to determine any independent predictors as to survival and level of disability. Based on the computed tomography (CT) findings, they were grouped according to their location and extent of the hemorrhage. The thalamus and the caudate were not involved. Univariate and multivariate regression analyses were done to determine any potential prognostic indicator. The groups were significantly different with regard to volume, intraventricular hemorrhage, midline shift, ambient cisterns, hydrocephalus, and disability score but not different with respect to pineal shift, side, gender, and age. The variables that arose as significant predictors of dis ability were intraventricular hemorrhage, midline shift, hydrocephalus, ambient cis terns (all p ≤ 0.001), pineal shift and age (both p ≤ 0.04). Neither gender nor side was a significant predictor for disability score (p = 0.92 and p = 0.125, respectively). Multivariate regression model included volume, ambient cisterns, and age as signifi cant predictors for disability score. Key Words: Putaminal hemorrhage—Intracerebral hemorrhage—Functional recovery—Mortality.