medigraphic.com
ISSN 1029-3019 (Electronic)

2012, Number 01

<< Back Next >>

MediSan 2012; 16 (01)

Prognosis factors in the cerebral intraparenchymal hemorrhage

Aguilera POR, González VD

Language: Spanish
References: 19
Page: 21-28
PDF size: 293.44 Kb.


ABSTRACT

A descriptive and prospective study of 116 patients with cerebral intraparenchymal hemorrhage, shown through the computerized axial tomography (CAT) was carried out, aimed at specifying the predetermined prognosis factors and their influence on the mortality in the case material. Among the main results there were: the prevalence of the 41-50 and 51-60 year groups (57,7 % between both), hypertension as personal pathological history (79,3%), as well as the occurrence of hemorrhages in the cerebral hemispheres (45,6 %). In the series, 49,1 % of the patients presented haematomas with volume of up to 30 mL and 7,7 % with the double of that content. A direct relation was observed between the blood volume in the cerebral parenchyma above 60 mL and the final prognosis of those affected.


REFERENCES

  1. Appelros P, Stegmayr B, Terent A. Sex differences in stroke epidemiology: a systematic review. Stroke. 2009;40(4):1082-90.

  2. Douglas MA, Haerer AF. Long-term prognosis of hypertensive intracerebral hemorrhage. Stroke. 1982;13:488–91.

  3. Buergo Zuaznábar MA, Fernández Concepción O. Guías de práctica clínica. Enfermedad cerebrovascular. La Habana: Editorial Ciencias Médicas, 2009.

  4. Christensen MC, Previgliano I, Capparelli FJ, Lerman D, Lee WC, Wainstein NA. Acute treatment costs of intracerebral hemorrhage and ischemic stroke in Argentina. Acta Neurol Scand. 2009;119(4):246-53.

  5. Moltó J, Moreno A, Martínez F. Patología hemorrágica intraparenquimatosa en pacientes mayores de 70 años. Un estudio comparativo con sujetos jóvenes. Rev Neurol. 1996;24(126):158-62.

  6. Ropper AH, Brown RH. Adams and victor’s principles of neurology. 9 ed. Barcelona: McGraw-Hill, 2009.

  7. Jaffe J, Alkhawam L, Du H, Tobin K, O’Leary J, Pollock G, et al. Outcome predictors and spectrum of treatment eligibility with prospective protocolized management of intracerebral hemorrhage. Neurosurgery. 2009;64(3):436-45.

  8. Kalita J, Misra UK, Vajpeyee A, Phadke RV, Handique A, Salwani V. Brain herniations in patients with intracerebral hemorrhage. Acta Neurol Scand. 2009; 119(4):254-60.

  9. Kumar MA, Rost NS, Snider RW, Chanderraj R, Greenberg SM, Smith EE, et al. Anemia and hematoma volume in acute intracerebral hemorrhage. Crit Care Med. 2009;37(4):1442-7.

  10. Toyoda K, Yasaka M, Nagata K, Nagao T, Gotoh J, Sakamoto T, et al. Antithrombotic therapy influences location, enlargement, and mortality from intracerebral hemorrhage. Cerebrovasc Dis. 2009;27(2):151-9.

  11. González Zaldívar A, Gómez Viera N, Álvarez Santana R, Ávila Padrón Y. Hemorragia intracerebral. Estudio de 349 autopsias en el Hospital Clinicoquirúrgico “Hermanos Ameijeiras”. Rev Cubana Med [Internet]. 2007 [citado 13 Jul 2011]; 46(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232007000200002&lng=es

  12. Salazar Z, Cristián L, Rivera M. Hematomas intracerebrales no traumáticos: factores pronósticos. Rev Chil Neurocir. 2006;27:42-6.

  13. Bolaños Vaillant S, Gómez García Y, Rodríguez Bolaños S, Dosouto Infante V, Rodríguez Cheong M. Tomografía axial computarizada en pacientes con enfermedades cerebrovasculares hemorrágicas. MEDISAN [Internet]. 2009 [citado 13 Jul 2011];13(5). Disponible en: http://bvs.sld.cu/revistas/san/vol13_5_09/san11509.htm

  14. Gasparetto EL, Benites Filho PR, Davaus T, Carvalho Neto A. Central nervous system hemorrhage in thrombocytopenic patients: computed tomographic findings in 21 cases. Arq Neuropsiquiatrics. 2007;65(2):268-72.

  15. Fewell ME, Thompson BG, Hoff JT. Spontaneous intracerebral hemorrhage: a review. Neurosurg Focus. 2003;15(4):1-16.

  16. Scherle Matamoros CE, Pérez Néllar J, Roselló Silva H. Hemorragia intracerebral espontánea. Rev Cubana Med [Internet]. 2007 [citado 13 Jul 2011]; 46(4). Disponible en: http://bvs.sld.cu/revistas/med/vol46_4_07/med08407.html

  17. Barras CD, Tress BM, Christensen S, McGregor L, Collins M, Desmond PM, et al. Density and shape as CT predictors of intracerebral hemorrhage growth. Stroke. 2009;40(4):1325-31.

  18. Pereira CU, Santos EA, Monteiro JT. Fatores prognósticos da hemorragia talâmica: considerações iniciais sobre 35 casos. Arq Bras Neurocir. 2006;25(4): 148-55.

  19. Delgado Gutiérrez D, García Moreira T, Sotolongo Calderón JA, López Pardo C, Perurena Cardounell L, Hernández Rodríguez TE. Valor predictivo del comando volumen en la hemorragia intraparenquimatosa por hipertensión arterial. Rev Cubana Med Mil [Internet]. 2003 [citado 13 Jul 2011]; 32(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572003000400007&lng=es&nrm=iso&tlng=es




2020     |     www.medigraphic.com