Analysis of correlation between MSCT classification and prognosis of basal ganglia hypertensive intracerebral hemorrhage

作     者：Zhixue Liu Xiaoyan Zhang Lihong Ma 

作者机构：Department of NeurologyBaogang HospitalBaotouInner MongoliaChina Department of NeurologyWuhai People’s HospitalWuhaiInner MongoliaChina 

出 版 物：《Discussion of Clinical Cases》 (临床病例讨论杂志（英文版）)

年 卷 期：2019年第6卷第4期

页      面：1-5页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：funded by Natural Science Foundation of Inner Mongolia Autonomous Region(2013MS1102) 

主　　题：Basal ganglia hypertensive intracerebral hemorrhage MSCT grading Prognosis Correlation analysis 

摘      要：Objective:To investigate the correlation between MSCT grading and the prognosis of basal ganglia hypertensive intracerebral ***:A total of 86 patients with basal ganglia hypertensive cerebral hemorrhage admitted to our hospital from May 2017 to March 2018 were *** clinical data and imaging data were collected from 86 *** MSCT images were observed and summarized by two *** on the morphology of cisterna ambiens and brain stem,the correlation of MSCT grading to Glasgow Coma Scale(GCS)and Glasgow Outcome Scale(GOS)grading was analyzed by use of Spearman correlation ***:Among 86 patients,the number of MSCT gradeⅠ,Ⅱ,ⅢandⅣwere 29 cases,38 cases,9 cases and 10 cases *** was no significant correlation between MSCT grading and age,sex as well as types of combined underlying diseases in the patients with basal ganglia hypertensive intracerebral hemorrhage(p0.05).Spearman correlation analysis showed that there was a positive correlation between MSCT grading and GCS score of basal ganglia hypertensive intracerebral *** higher MSCT grade was,the higher GCS score was(r=0.719,p0.001).There was a positive correlation between MSCT grading and GOS grading of basal ganglia hypertensive intracerebral *** higher MSCT grade was,the higher GOS grade was,leading to a poor prognosis(r=0.734,p0.001).86 cases of basal ganglia hypertensive intracerebral hemorrhage showed round or quasi-circular high-density shadows in MSCT images,the CT value ranged from 50 Hu to 80 ***-density bands surrounded the hematoma in the acute stage,and space-occupying effect could be seen in some patients,which resulted in the compression of ventricular sulcus and cistern and the displacement of midline *** basal ganglia hypertensive intracerebral hemorrhage patients showed a relative decrease in the density of hematoma,with the extent of edema gradually reduced,the focus showed a high-density shadow