Analysis of different hematoma expansion shapes caused by different risk factors in patients with hypertensive intracerebral hemorrhage

Abstract

ObjectiveTo elucidate the relationship between the risk factors and hematoma expansion(HE)shapes. Patients and methodsFrom February 2013 to November 2018, 60 patients diagnosed as basal ganglia ICH were divided into the filled type hematoma expansion group (FTE group) and the expanded type hematoma expansion group (ETE group). we performed follow-up CT and three-dimensional reconstruction for the patients and compared the hematoma before and after the expansion of size and extent. ResultsThe regression analysis showed that the irregular sign (odds ratio, 3.64; 95 % CI, 1.46–9.12), black hole sign (odds ratio, 3.85; 95 % CI, 1.40–10.60), blend sign (odds ratio, 2.86; 95 % CI, 1.03–7.95), and early use of dehydration (odds ratio, 4.59; 95 % CI, 1.59–13.19) were possible risk factors for the ETE group, while the high systolic blood pressure (odds ratio, 1.51; 95 % CI, 1.04–2.30), early use of dehydration (odds ratio, 3.27; 95 % CI, 1.10–9.69) and low density low-density band (odds ratio, 4.52; 95 % CI, 1.54–13.28) were possible risk factors for the FTE group. ConclusionsThe irregular sign, black hole sign, blend sign and early use of dehydration may be the main risk factors for ETE, whereas early use of dehydration, high systolic blood pressure, and low density low-density band may be the main risk factors for FTE.