Abstract
Objective To investigate the association of morphological changes of the cisterna ambiens and brain stem defined by computed tomography (CT) and the prognosis of hypertensive intracerebral hemorrhage. Methods A retrospective analysis was conducted in 165 patients with hypertensive intracerebral hemorrhage who underwent head CT. The morphological changes of the cisterna ambiens and brain stem were classified into 4 grades according to the results of head CT, and the Glasgow coma score (GCS) upon admission and the Glasgow outcome score (GOS) at 6 months after the hemorrhage were recorded for comparative analysis. Results Spearman rank analysis revealed significant correlations of the CT-based grading of the cerebral pathology to the GCS (r=0.753, P<0.01) and the GOS (r=0.675, P<0.01) in these patients. Conclusion Head CT-based grading of the cerebral pathologies can be useful for early prediction of the outcomes of patients with hypertensive intracerebral hemorrhage. Key words: Intracerebral hemorrhage, hypertensive; Tomography, X-ray computed; Prognosis
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